- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,563.30 / $29,585.20 / $40,401.10
| Facility | | $16,563.30 | $29,585.20 | $40,401.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,197.94 / $24,197.94 / $24,197.94
| Facility | | $24,197.94 | $24,197.94 | $24,197.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,671.00 / $29,278.02 / $43,607.17
| Facility | | $14,671.00 | $29,278.02 | $43,607.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,672.95 / $26,525.12 / $40,259.98
| Facility | | $15,672.95 | $26,525.12 | $40,259.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,818.59 / $29,818.59 / $36,208.29
| Facility | | $29,818.59 | $29,818.59 | $36,208.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,613.71 / $36,883.41 / $64,035.96
| Facility | | $28,613.71 | $36,883.41 | $64,035.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,319.00 / $28,953.60 / $39,981.30
| Facility | | $16,319.00 | $28,953.60 | $39,981.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,743.88 / $24,429.60 / $38,329.76
| Facility | | $14,743.88 | $24,429.60 | $38,329.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,185.38 / $20,208.34
| Facility | | $2,621.40 | $14,185.38 | $20,208.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,416.45 / $22,629.05 / $41,374.69
| Facility | | $8,416.45 | $22,629.05 | $41,374.69 |