- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,464.20 / $18,285.20 / $32,200.30
| Facility | | $11,464.20 | $18,285.20 | $32,200.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $15,124.34 / $22,133.87
| Facility | | $6,600.00 | $15,124.34 | $22,133.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,600.55 / $14,217.73 / $23,818.02
| Facility | | $10,600.55 | $14,217.73 | $23,818.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,193.01 / $11,943.60 / $14,698.17
| Facility | | $8,193.01 | $11,943.60 | $14,698.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $13,258.26 / $20,971.18
| Facility | | $6,409.00 | $13,258.26 | $20,971.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,596.55 / $14,842.96 / $20,179.81
| Facility | | $10,596.55 | $14,842.96 | $20,179.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $11,453.17 / $29,835.83
| Facility | | $3,775.00 | $11,453.17 | $29,835.83 |