- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,561.30 / $25,831.50 / $31,190.90
| Facility | | $13,561.30 | $25,831.50 | $31,190.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $23,325.35 / $39,606.19
| Facility | | $12,397.00 | $23,325.35 | $39,606.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,012.00 / $21,726.74 / $25,466.00
| Facility | | $15,012.00 | $21,726.74 | $25,466.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,434.24 / $17,700.40 / $23,810.10
| Facility | | $11,434.24 | $17,700.40 | $23,810.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,573.21 / $23,031.92 / $36,790.87
| Facility | | $13,573.21 | $23,031.92 | $36,790.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,019.51 / $21,089.87 / $24,904.39
| Facility | | $15,019.51 | $21,089.87 | $24,904.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $22,790.49 / $32,791.10
| Facility | | $3,775.00 | $22,790.49 | $32,791.10 |