- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,834.40 / $25,255.50 / $44,475.00
| Facility | | $15,834.40 | $25,255.50 | $44,475.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,092.61 / $22,513.59 / $32,728.31
| Facility | | $9,092.61 | $22,513.59 | $32,728.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,641.46 / $19,637.50 / $32,897.39
| Facility | | $14,641.46 | $19,637.50 | $32,897.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,451.42 / $17,235.90 / $20,545.34
| Facility | | $11,451.42 | $17,235.90 | $20,545.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $20,260.93 / $30,629.13
| Facility | | $6,600.00 | $20,260.93 | $30,629.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,476.62 / $21,793.75 / $29,601.01
| Facility | | $15,476.62 | $21,793.75 | $29,601.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,819.09 / $41,209.17
| Facility | | $3,775.00 | $15,819.09 | $41,209.17 |