- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,706.50 / $18,671.59 / $32,880.80
| Facility | | $11,706.50 | $18,671.59 | $32,880.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,951.00 / $16,757.23 / $24,830.20
| Facility | | $7,951.00 | $16,757.23 | $24,830.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,824.57 / $14,518.19 / $24,321.36
| Facility | | $10,824.57 | $14,518.19 | $24,321.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,680.15 / $13,464.00 / $17,366.07
| Facility | | $9,680.15 | $13,464.00 | $17,366.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $15,485.38 / $22,797.75
| Facility | | $6,409.00 | $15,485.38 | $22,797.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,519.49 / $16,532.25 / $22,483.86
| Facility | | $11,519.49 | $16,532.25 | $22,483.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $11,695.21 / $30,466.33
| Facility | | $3,775.00 | $11,695.21 | $30,466.33 |