- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,664.70 / $19,691.90 / $34,652.10
| Facility | | $11,664.70 | $19,691.90 | $34,652.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,884.00 / $7,884.00 / $21,716.31
| Facility | | $7,884.00 | $7,884.00 | $21,716.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,159.10 / $16,114.06 / $26,289.30
| Facility | | $11,159.10 | $16,114.06 | $26,289.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,610.87 / $18,134.41 / $25,063.50
| Facility | | $10,610.87 | $18,134.41 | $25,063.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,845.60 / $36,845.60 / $43,241.44
| Facility | | $36,845.60 | $36,845.60 | $43,241.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $17,866.00 / $24,513.04
| Facility | | $1,787.00 | $17,866.00 | $24,513.04 |