- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,044.40 / $21,835.70 / $29,818.60
| Facility | | $12,044.40 | $21,835.70 | $29,818.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,017.00 / $20,680.00 / $30,855.00
| Facility | | $10,017.00 | $20,680.00 | $30,855.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,567.63 / $19,582.00 / $28,889.03
| Facility | | $11,567.63 | $19,582.00 | $28,889.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,008.02 / $22,008.02 / $26,724.02
| Facility | | $22,008.02 | $22,008.02 | $26,724.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,602.04 / $20,565.84 / $33,987.58
| Facility | | $9,602.04 | $20,565.84 | $33,987.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,023.10 / $20,972.90 / $29,508.70
| Facility | | $12,023.10 | $20,972.90 | $29,508.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,203.24 / $21,261.12 / $23,748.02
| Facility | | $16,203.24 | $21,261.12 | $23,748.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,998.67 / $18,030.59 / $27,994.24
| Facility | | $10,998.67 | $18,030.59 | $27,994.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $10,537.30 / $14,761.14
| Facility | | $2,621.40 | $10,537.30 | $14,761.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,211.88 / $16,835.24 / $30,537.16
| Facility | | $6,211.88 | $16,835.24 | $30,537.16 |