- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,508.00 / $24,127.90 / $32,948.69
| Facility | | $13,508.00 | $24,127.90 | $32,948.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,303.00 / $21,213.00 / $33,187.33
| Facility | | $10,303.00 | $21,213.00 | $33,187.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,153.21 / $22,624.01 / $32,833.60
| Facility | | $12,153.21 | $22,624.01 | $32,833.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,318.23 / $24,318.23 / $29,529.28
| Facility | | $24,318.23 | $24,318.23 | $29,529.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,045.88 / $26,828.36 / $52,990.50
| Facility | | $24,045.88 | $26,828.36 | $52,990.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,308.80 / $23,174.50 / $32,606.30
| Facility | | $13,308.80 | $23,174.50 | $32,606.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,272.51 / $19,952.82 / $30,768.95
| Facility | | $11,272.51 | $19,952.82 | $30,768.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $10,233.07 / $14,332.12
| Facility | | $2,621.40 | $10,233.07 | $14,332.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,863.95 / $18,602.46 / $33,742.69
| Facility | | $6,863.95 | $18,602.46 | $33,742.69 |