- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,446.00 / $27,626.50 / $40,204.00
| Facility | | $15,446.00 | $27,626.50 | $40,204.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,715.09 / $14,715.09 / $14,715.09
| Facility | | $14,715.09 | $14,715.09 | $14,715.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,434.00 / $28,651.25 / $49,590.86
| Facility | | $10,434.00 | $28,651.25 | $49,590.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,691.00 / $22,846.10 / $35,620.98
| Facility | | $12,691.00 | $22,846.10 | $35,620.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,844.52 / $27,844.52 / $33,811.21
| Facility | | $27,844.52 | $27,844.52 | $33,811.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,222.04 / $27,251.95 / $50,931.98
| Facility | | $15,222.04 | $27,251.95 | $50,931.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,238.60 / $27,036.80 / $39,483.90
| Facility | | $15,238.60 | $27,036.80 | $39,483.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,691.00 / $22,340.85 / $35,230.64
| Facility | | $12,691.00 | $22,340.85 | $35,230.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,024.45 / $15,443.57
| Facility | | $2,621.40 | $11,024.45 | $15,443.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $21,448.63 / $35,452.00
| Facility | | $5,130.00 | $21,448.63 | $35,452.00 |