- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,472.20 / $31,208.60 / $42,618.10
| Facility | | $17,472.20 | $31,208.60 | $42,618.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,101.00 / $29,328.79 / $43,239.00
| Facility | | $13,101.00 | $29,328.79 | $43,239.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,338.00 / $27,980.66 / $42,469.21
| Facility | | $16,338.00 | $27,980.66 | $42,469.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,454.85 / $31,454.85 / $38,195.18
| Facility | | $31,454.85 | $31,454.85 | $38,195.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,351.38 / $34,743.19 / $47,293.38
| Facility | | $22,351.38 | $34,743.19 | $47,293.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,214.50 / $30,542.40 / $42,175.20
| Facility | | $17,214.50 | $30,542.40 | $42,175.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,552.93 / $25,770.15 / $39,798.66
| Facility | | $15,552.93 | $25,770.15 | $39,798.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,865.95 / $18,246.64
| Facility | | $2,621.40 | $12,865.95 | $18,246.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,878.29 / $24,061.68 / $43,645.09
| Facility | | $8,878.29 | $24,061.68 | $43,645.09 |