- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,919.40 / $27,047.80 / $36,936.10
| Facility | | $14,919.40 | $27,047.80 | $36,936.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,520.18 / $36,520.18 / $36,520.18
| Facility | | $36,520.18 | $36,520.18 | $36,520.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,596.00 / $28,011.18 / $40,371.41
| Facility | | $13,596.00 | $28,011.18 | $40,371.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,479.31 / $24,250.20 / $35,433.37
| Facility | | $14,479.31 | $24,250.20 | $35,433.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,261.20 / $27,261.20 / $33,102.89
| Facility | | $27,261.20 | $27,261.20 | $33,102.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,974.87 / $27,335.66 / $42,775.48
| Facility | | $13,974.87 | $27,335.66 | $42,775.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,510.70 / $25,979.00 / $36,552.30
| Facility | | $14,510.70 | $25,979.00 | $36,552.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,623.98 / $22,334.40 / $34,874.75
| Facility | | $13,623.98 | $22,334.40 | $34,874.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,158.99 / $18,682.33
| Facility | | $2,621.40 | $13,158.99 | $18,682.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,694.61 / $20,853.71 / $37,826.19
| Facility | | $7,694.61 | $20,853.71 | $37,826.19 |