- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,932.20 / $26,671.80 / $36,422.60
| Facility | | $14,932.20 | $26,671.80 | $36,422.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,762.00 / $28,256.99 / $40,460.00
| Facility | | $13,762.00 | $28,256.99 | $40,460.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,278.01 / $23,913.06 / $34,389.91
| Facility | | $14,278.01 | $23,913.06 | $34,389.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,882.21 / $26,882.21 / $32,642.68
| Facility | | $26,882.21 | $26,882.21 | $32,642.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,548.15 / $34,750.32 / $51,942.14
| Facility | | $25,548.15 | $34,750.32 | $51,942.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,712.00 / $26,671.80 / $36,422.60
| Facility | | $14,712.00 | $26,671.80 | $36,422.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,434.58 / $21,839.55 / $33,274.03
| Facility | | $13,434.58 | $21,839.55 | $33,274.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,314.26 / $17,426.39
| Facility | | $2,621.40 | $12,314.26 | $17,426.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,587.64 / $20,563.80 / $37,300.33
| Facility | | $7,587.64 | $20,563.80 | $37,300.33 |