- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,961.10 / $24,937.10 / $35,304.00
| Facility | | $13,961.10 | $24,937.10 | $35,304.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,393.65 / $16,393.65 / $20,334.91
| Facility | | $16,393.65 | $16,393.65 | $20,334.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,565.00 / $28,628.00 / $41,227.00
| Facility | | $13,565.00 | $28,628.00 | $41,227.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,349.43 / $22,357.85 / $32,631.84
| Facility | | $13,349.43 | $22,357.85 | $32,631.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,133.89 / $25,133.89 / $30,519.73
| Facility | | $25,133.89 | $25,133.89 | $30,519.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,544.93 / $30,171.12 / $48,316.52
| Facility | | $19,544.93 | $30,171.12 | $48,316.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,755.20 / $23,951.80 / $35,115.00
| Facility | | $13,755.20 | $23,951.80 | $35,115.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,560.85 / $20,622.06 / $32,153.32
| Facility | | $12,560.85 | $20,622.06 | $32,153.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,164.75 / $17,204.09
| Facility | | $2,621.40 | $12,164.75 | $17,204.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,094.17 / $19,226.41 / $34,874.46
| Facility | | $7,094.17 | $19,226.41 | $34,874.46 |