- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,525.50 / $26,357.80 / $46,416.00
| Facility | | $16,525.50 | $26,357.80 | $46,416.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,824.77 / $22,066.76 / $32,078.74
| Facility | | $8,824.77 | $22,066.76 | $32,078.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,280.48 / $20,494.57 / $34,333.19
| Facility | | $15,280.48 | $20,494.57 | $34,333.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,627.86 / $17,174.84 / $20,860.25
| Facility | | $11,627.86 | $17,174.84 | $20,860.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,858.82 / $30,021.23
| Facility | | $6,600.00 | $19,858.82 | $30,021.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,169.45 / $21,336.30 / $28,979.69
| Facility | | $15,169.45 | $21,336.30 | $28,979.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,509.50 / $43,007.73
| Facility | | $3,775.00 | $16,509.50 | $43,007.73 |