- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,922.60 / $18,847.30 / $30,561.90
| Facility | | $11,922.60 | $18,847.30 | $30,561.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,702.59 / $16,755.75 / $38,571.67
| Facility | | $13,702.59 | $16,755.75 | $38,571.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,324.20 / $31,638.55
| Facility | | $100.00 | $14,324.20 | $31,638.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,770.25 / $20,168.74 / $34,701.58
| Facility | | $13,770.25 | $20,168.74 | $34,701.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,323.00 / $26,606.00 / $31,224.40
| Facility | | $18,323.00 | $26,606.00 | $31,224.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,057.79 / $16,809.75 / $35,004.25
| Facility | | $12,057.79 | $16,809.75 | $35,004.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $15,316.21 / $31,356.45
| Facility | | $5,693.00 | $15,316.21 | $31,356.45 |