- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,129.20 / $22,535.70 / $39,685.50
| Facility | | $14,129.20 | $22,535.70 | $39,685.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,874.56 / $19,687.84 / $28,620.50
| Facility | | $6,874.56 | $19,687.84 | $28,620.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,064.73 / $17,522.75 / $29,354.70
| Facility | | $13,064.73 | $17,522.75 | $29,354.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,180.82 / $14,853.30 / $18,264.28
| Facility | | $10,180.82 | $14,853.30 | $18,264.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $17,520.57 / $26,784.79
| Facility | | $6,409.00 | $17,520.57 | $26,784.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,534.11 / $18,957.70 / $25,774.03
| Facility | | $13,534.11 | $18,957.70 | $25,774.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,115.55 / $36,771.39
| Facility | | $3,775.00 | $14,115.55 | $36,771.39 |