- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,879.10 / $17,888.30 / $36,353.69
| Facility | | $13,879.10 | $17,888.30 | $36,353.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,087.97 / $15,942.16 / $20,518.75
| Facility | | $13,087.97 | $15,942.16 | $20,518.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,075.75 / $17,644.25 / $20,171.93
| Facility | | $14,075.75 | $17,644.25 | $20,171.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,078.50 / $19,610.09 / $25,503.78
| Facility | | $11,078.50 | $19,610.09 | $25,503.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,808.11 / $23,181.10 / $23,777.26
| Facility | | $17,808.11 | $23,181.10 | $23,777.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $15,726.82 / $24,219.68
| Facility | | $1,286.00 | $15,726.82 | $24,219.68 |