- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,597.50 / $18,281.30 / $22,074.30
| Facility | | $9,597.50 | $18,281.30 | $22,074.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $16,507.70 / $29,010.14
| Facility | | $6,916.00 | $16,507.70 | $29,010.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,060.80 / $15,764.76 / $19,406.75
| Facility | | $13,060.80 | $15,764.76 | $19,406.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,846.07 / $13,810.50 / $18,414.00
| Facility | | $8,846.07 | $13,810.50 | $18,414.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,430.37 / $17,511.70 / $26,897.18
| Facility | | $10,430.37 | $17,511.70 | $26,897.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,497.87 / $15,423.65 / $21,351.63
| Facility | | $11,497.87 | $15,423.65 | $21,351.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,051.95 / $21,682.67
| Facility | | $3,775.00 | $15,051.95 | $21,682.67 |