- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,008.30 / $25,532.90 / $44,963.50
| Facility | | $16,008.30 | $25,532.90 | $44,963.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,998.00 / $21,527.62 / $31,295.00
| Facility | | $7,998.00 | $21,527.62 | $31,295.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,802.29 / $19,853.21 / $33,258.76
| Facility | | $14,802.29 | $19,853.21 | $33,258.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,925.54 / $16,813.50 / $19,645.57
| Facility | | $10,925.54 | $16,813.50 | $19,645.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $19,373.63 / $29,287.75
| Facility | | $6,409.00 | $19,373.63 | $29,287.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,798.83 / $20,822.91 / $28,282.40
| Facility | | $14,798.83 | $20,822.91 | $28,282.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,992.86 / $41,661.83
| Facility | | $3,775.00 | $15,992.86 | $41,661.83 |