- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,048.50 / $30,907.80 / $42,207.30
| Facility | | $17,048.50 | $30,907.80 | $42,207.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,450.00 / $32,345.71 / $44,258.72
| Facility | | $16,450.00 | $32,345.71 | $44,258.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,545.66 / $27,710.95 / $42,059.84
| Facility | | $16,545.66 | $27,710.95 | $42,059.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,151.66 / $31,151.66 / $37,827.01
| Facility | | $31,151.66 | $31,151.66 | $37,827.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,707.44 / $33,366.43 / $55,092.34
| Facility | | $25,707.44 | $33,366.43 | $55,092.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,018.30 / $30,907.80 / $41,768.69
| Facility | | $17,018.30 | $30,907.80 | $41,768.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,568.27 / $25,521.75 / $39,415.03
| Facility | | $15,568.27 | $25,521.75 | $39,415.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,463.47 / $20,621.81
| Facility | | $2,621.40 | $14,463.47 | $20,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,792.71 / $23,829.75 / $43,224.39
| Facility | | $8,792.71 | $23,829.75 | $43,224.39 |