- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,066.80 / $26,912.10 / $36,750.80
| Facility | | $15,066.80 | $26,912.10 | $36,750.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,756.00 / $29,301.28 / $41,117.00
| Facility | | $13,756.00 | $29,301.28 | $41,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,256.87 / $24,128.53 / $34,935.87
| Facility | | $14,256.87 | $24,128.53 | $34,935.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,124.44 / $27,124.44 / $32,936.81
| Facility | | $27,124.44 | $27,124.44 | $32,936.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,607.48 / $26,951.86 / $50,538.82
| Facility | | $19,607.48 | $26,951.86 | $50,538.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,844.50 / $26,912.10 / $36,750.80
| Facility | | $14,844.50 | $26,912.10 | $36,750.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,411.75 / $22,222.35 / $34,699.79
| Facility | | $13,411.75 | $22,222.35 | $34,699.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,982.57 / $18,420.03
| Facility | | $2,621.40 | $12,982.57 | $18,420.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,656.01 / $20,749.09 / $37,636.43
| Facility | | $7,656.01 | $20,749.09 | $37,636.43 |