- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,216.00 / $23,606.30 / $32,236.50
| Facility | | $13,216.00 | $23,606.30 | $32,236.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,574.00 / $24,784.47 / $33,486.96
| Facility | | $10,574.00 | $24,784.47 | $33,486.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,637.01 / $21,859.20 / $31,814.00
| Facility | | $12,637.01 | $21,859.20 | $31,814.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,792.58 / $23,792.58 / $28,891.00
| Facility | | $23,792.58 | $23,792.58 | $28,891.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,363.21 / $18,060.00 / $45,059.23
| Facility | | $6,363.21 | $18,060.00 | $45,059.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,021.10 / $23,606.30 / $32,236.50
| Facility | | $13,021.10 | $23,606.30 | $32,236.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,890.52 / $19,521.53 / $30,103.87
| Facility | | $11,890.52 | $19,521.53 | $30,103.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $10,872.12 / $15,230.17
| Facility | | $2,621.40 | $10,872.12 | $15,230.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,786.00 / $18,327.41 / $30,358.00
| Facility | | $3,786.00 | $18,327.41 | $30,358.00 |