- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,692.30 / $29,815.70 / $42,842.00
| Facility | | $16,692.30 | $29,815.70 | $42,842.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,386.00 / $34,067.33 / $46,145.00
| Facility | | $15,386.00 | $34,067.33 | $46,145.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,731.79 / $38,759.80
| Facility | | $15,628.00 | $26,731.79 | $38,759.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,050.93 / $30,050.93 / $36,490.41
| Facility | | $30,050.93 | $30,050.93 | $36,490.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,401.43 / $23,727.57 / $40,191.00
| Facility | | $12,401.43 | $23,727.57 | $40,191.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,446.09 / $29,815.70 / $40,715.90
| Facility | | $16,446.09 | $29,815.70 | $40,715.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,018.17 / $24,619.95 / $38,443.60
| Facility | | $15,018.17 | $24,619.95 | $38,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,337.88 / $20,435.08
| Facility | | $2,621.40 | $14,337.88 | $20,435.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,482.03 / $22,987.74 / $41,697.08
| Facility | | $8,482.03 | $22,987.74 | $41,697.08 |