- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,453.79 / $19,912.30 / $24,043.60
| Facility | | $10,453.79 | $19,912.30 | $24,043.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,980.45 / $30,863.65
| Facility | | $6,916.00 | $17,980.45 | $30,863.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,958.20 / $17,171.24 / $20,643.78
| Facility | | $12,958.20 | $17,171.24 | $20,643.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,591.71 / $14,101.50 / $18,768.16
| Facility | | $8,591.71 | $14,101.50 | $18,768.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,734.85 / $17,917.74 / $27,695.27
| Facility | | $10,734.85 | $17,917.74 | $27,695.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,839.04 / $16,131.96 / $20,618.53
| Facility | | $11,839.04 | $16,131.96 | $20,618.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,813.00 / $18,585.93 / $22,663.73
| Facility | | $10,813.00 | $18,585.93 | $22,663.73 |