- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,456.30 / $21,821.90 / $26,349.40
| Facility | | $11,456.30 | $21,821.90 | $26,349.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $19,704.75 / $33,823.43
| Facility | | $6,916.00 | $19,704.75 | $33,823.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,719.40 / $18,595.09 / $22,166.16
| Facility | | $15,719.40 | $18,595.09 | $22,166.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,282.79 / $15,461.50 / $20,609.22
| Facility | | $10,282.79 | $15,461.50 | $20,609.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,771.27 / $19,878.59 / $30,412.02
| Facility | | $11,771.27 | $19,878.59 | $30,412.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,000.38 / $18,127.39 / $22,768.30
| Facility | | $13,000.38 | $18,127.39 | $22,768.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,967.07 / $25,881.96
| Facility | | $3,775.00 | $17,967.07 | $25,881.96 |