- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,429.59 / $29,346.50 / $40,075.19
| Facility | | $16,429.59 | $29,346.50 | $40,075.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,172.00 / $27,715.95 / $41,774.55
| Facility | | $14,172.00 | $27,715.95 | $41,774.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,781.83 / $26,311.11 / $39,935.16
| Facility | | $14,781.83 | $26,311.11 | $39,935.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,578.01 / $29,578.01 / $35,916.16
| Facility | | $29,578.01 | $29,578.01 | $35,916.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,465.34 / $31,465.34 / $48,626.12
| Facility | | $31,465.34 | $31,465.34 | $48,626.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,187.30 / $28,720.00 / $39,658.69
| Facility | | $16,187.30 | $28,720.00 | $39,658.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,169.00 / $24,232.50 / $37,423.96
| Facility | | $14,169.00 | $24,232.50 | $37,423.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,478.20 / $19,156.91
| Facility | | $2,621.40 | $13,478.20 | $19,156.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,348.54 / $22,625.98 / $41,040.87
| Facility | | $8,348.54 | $22,625.98 | $41,040.87 |