- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,391.30 / $24,864.30 / $34,405.69
| Facility | | $15,391.30 | $24,864.30 | $34,405.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,097.09 / $20,097.09 / $22,853.98
| Facility | | $20,097.09 | $20,097.09 | $22,853.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,843.87 / $23,785.19 / $36,035.08
| Facility | | $14,843.87 | $23,785.19 | $36,035.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $20,802.18 / $35,612.22
| Facility | | $7,516.00 | $20,802.18 | $35,612.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,150.00 / $19,823.99 / $31,613.36
| Facility | | $7,150.00 | $19,823.99 | $31,613.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,746.57 / $27,200.03 / $39,071.94
| Facility | | $7,746.57 | $27,200.03 | $39,071.94 |