- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,042.50 / $25,082.60 / $34,252.50
| Facility | | $14,042.50 | $25,082.60 | $34,252.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,841.00 / $23,627.03 / $35,590.97
| Facility | | $11,841.00 | $23,627.03 | $35,590.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,287.71 / $23,519.29 / $34,132.87
| Facility | | $13,287.71 | $23,519.29 | $34,132.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,280.55 / $25,280.55 / $30,697.81
| Facility | | $25,280.55 | $25,280.55 | $30,697.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,028.96 / $33,484.71 / $37,773.48
| Facility | | $28,028.96 | $33,484.71 | $37,773.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,835.40 / $24,547.20 / $34,252.50
| Facility | | $13,835.40 | $24,547.20 | $34,252.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,500.03 / $20,742.38 / $31,986.54
| Facility | | $12,500.03 | $20,742.38 | $31,986.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,691.61 / $16,476.11
| Facility | | $2,621.40 | $11,691.61 | $16,476.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,135.56 / $19,338.59 / $35,077.94
| Facility | | $7,135.56 | $19,338.59 | $35,077.94 |