- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,060.10 / $22,713.70 / $31,429.80
| Facility | | $14,060.10 | $22,713.70 | $31,429.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,050.30 / $17,050.30 / $17,050.30
| Facility | | $17,050.30 | $17,050.30 | $17,050.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,585.82 / $20,166.98 / $30,553.42
| Facility | | $12,585.82 | $20,166.98 | $30,553.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $19,002.93 / $32,532.00
| Facility | | $7,516.00 | $19,002.93 | $32,532.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $18,767.09 / $28,879.00
| Facility | | $7,516.00 | $18,767.09 | $28,879.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,264.00 / $24,454.34 / $35,339.51
| Facility | | $7,264.00 | $24,454.34 | $35,339.51 |