- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,933.80 / $25,414.00 / $44,754.10
| Facility | | $15,933.80 | $25,414.00 | $44,754.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,349.54 / $22,195.13 / $32,380.65
| Facility | | $8,349.54 | $22,195.13 | $32,380.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,733.36 / $19,760.75 / $33,103.89
| Facility | | $14,733.36 | $19,760.75 | $33,103.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,339.14 / $16,694.70 / $20,342.29
| Facility | | $11,339.14 | $16,694.70 | $20,342.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,631.24 / $30,303.77
| Facility | | $6,600.00 | $19,631.24 | $30,303.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,312.22 / $21,448.36 / $29,160.21
| Facility | | $15,312.22 | $21,448.36 | $29,160.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,786.99 / $9,940.77 / $23,001.89
| Facility | | $6,786.99 | $9,940.77 | $23,001.89 |