- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,014.50 / $30,391.20 / $41,501.80
| Facility | | $17,014.50 | $30,391.20 | $41,501.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,498.00 / $31,824.46 / $45,982.00
| Facility | | $14,498.00 | $31,824.46 | $45,982.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,099.93 / $27,247.76 / $41,356.81
| Facility | | $16,099.93 | $27,247.76 | $41,356.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,630.95 / $30,630.95 / $37,194.73
| Facility | | $30,630.95 | $30,630.95 | $37,194.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,967.04 / $33,596.19 / $46,032.93
| Facility | | $25,967.04 | $33,596.19 | $46,032.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,763.59 / $30,391.20 / $41,501.80
| Facility | | $16,763.59 | $30,391.20 | $41,501.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,145.56 / $25,095.15 / $38,756.21
| Facility | | $15,145.56 | $25,095.15 | $38,756.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,899.07 / $19,782.66
| Facility | | $2,621.40 | $13,899.07 | $19,782.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,645.74 / $23,431.43 / $42,501.89
| Facility | | $8,645.74 | $23,431.43 | $42,501.89 |