- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,857.09 / $30,362.30 / $43,033.20
| Facility | | $16,857.09 | $30,362.30 | $43,033.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,501.00 / $32,649.03 / $48,937.00
| Facility | | $15,501.00 | $32,649.03 | $48,937.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,995.64 / $38,823.04
| Facility | | $15,628.00 | $26,995.64 | $38,823.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,347.53 / $30,347.53 / $36,850.58
| Facility | | $30,347.53 | $30,347.53 | $36,850.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,488.78 / $31,757.81 / $33,482.44
| Facility | | $28,488.78 | $31,757.81 | $33,482.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,608.50 / $30,110.00 / $42,314.90
| Facility | | $16,608.50 | $30,110.00 | $42,314.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,005.42 / $24,862.95 / $38,397.60
| Facility | | $15,005.42 | $24,862.95 | $38,397.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,118.10 / $20,108.32
| Facility | | $2,621.40 | $14,118.10 | $20,108.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,565.75 / $23,214.63 / $42,108.63
| Facility | | $8,565.75 | $23,214.63 | $42,108.63 |