- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,372.50 / $21,662.30 / $26,156.80
| Facility | | $11,372.50 | $21,662.30 | $26,156.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $19,560.70 / $33,576.17
| Facility | | $6,916.00 | $19,560.70 | $33,576.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,447.60 / $18,478.50 / $22,007.34
| Facility | | $15,447.60 | $18,478.50 | $22,007.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,180.82 / $15,303.40 / $20,763.75
| Facility | | $10,180.82 | $15,303.40 | $20,763.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,857.01 / $19,896.20 / $30,640.05
| Facility | | $11,857.01 | $19,896.20 | $30,640.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,097.86 / $18,150.59 / $23,011.02
| Facility | | $13,097.86 | $18,150.59 | $23,011.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,835.72 / $25,692.75
| Facility | | $3,775.00 | $17,835.72 | $25,692.75 |