- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,748.00 / $31,428.80 / $43,855.00
| Facility | | $17,748.00 | $31,428.80 | $43,855.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,135.00 / $26,640.82 / $40,196.93
| Facility | | $14,135.00 | $26,640.82 | $40,196.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,004.31 / $28,792.71 / $44,186.93
| Facility | | $16,004.31 | $28,792.71 | $44,186.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,367.74 / $32,367.74 / $39,303.68
| Facility | | $32,367.74 | $32,367.74 | $39,303.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,785.96 / $26,675.20 / $59,335.67
| Facility | | $9,785.96 | $26,675.20 | $59,335.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,714.09 / $30,018.40 / $43,399.20
| Facility | | $17,714.09 | $30,018.40 | $43,399.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,683.14 / $26,296.08 / $44,186.93
| Facility | | $14,683.14 | $26,296.08 | $44,186.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,913.07 / $24,256.24
| Facility | | $2,621.40 | $16,913.07 | $24,256.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,976.85 / $24,760.00 / $44,911.76
| Facility | | $8,976.85 | $24,760.00 | $44,911.76 |