- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,757.30 / $29,931.80 / $40,874.40
| Facility | | $16,757.30 | $29,931.80 | $40,874.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,356.00 / $30,027.00 / $44,527.14
| Facility | | $15,356.00 | $30,027.00 | $44,527.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,835.87 / $38,593.26
| Facility | | $15,628.00 | $26,835.87 | $38,593.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,167.92 / $30,167.92 / $36,632.48
| Facility | | $30,167.92 | $30,167.92 | $36,632.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,195.13 / $27,862.98 / $49,158.92
| Facility | | $15,195.13 | $27,862.98 | $49,158.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,510.20 / $28,749.10 / $40,449.69
| Facility | | $16,510.20 | $28,749.10 | $40,449.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,076.64 / $24,752.42 / $38,441.49
| Facility | | $15,076.64 | $24,752.42 | $38,441.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,224.26 / $20,266.14
| Facility | | $2,621.40 | $14,224.26 | $20,266.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,515.04 / $23,077.23 / $41,859.41
| Facility | | $8,515.04 | $23,077.23 | $41,859.41 |