- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,205.30 / $22,657.10 / $39,899.19
| Facility | | $14,205.30 | $22,657.10 | $39,899.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,899.67 / $18,590.70 / $27,025.56
| Facility | | $6,899.67 | $18,590.70 | $27,025.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,135.09 / $17,617.12 / $29,512.80
| Facility | | $13,135.09 | $17,617.12 | $29,512.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,533.49 / $14,249.40 / $17,102.98
| Facility | | $9,533.49 | $14,249.40 | $17,102.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $16,468.04 / $25,292.15
| Facility | | $6,409.00 | $16,468.04 | $25,292.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,779.89 / $17,901.24 / $24,337.71
| Facility | | $12,779.89 | $17,901.24 | $24,337.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,191.57 / $36,969.43
| Facility | | $3,775.00 | $14,191.57 | $36,969.43 |