- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,363.80 / $23,550.50 / $28,436.60
| Facility | | $12,363.80 | $23,550.50 | $28,436.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $21,265.65 / $36,502.74
| Facility | | $6,916.00 | $21,265.65 | $36,502.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,663.43 / $19,931.52 / $24,106.66
| Facility | | $17,663.43 | $19,931.52 | $24,106.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,109.06 / $17,559.30 / $22,723.80
| Facility | | $12,109.06 | $17,559.30 | $22,723.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,644.92 / $21,963.90 / $33,376.05
| Facility | | $12,644.92 | $21,963.90 | $33,376.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,980.70 / $19,268.43 / $25,903.81
| Facility | | $13,980.70 | $19,268.43 | $25,903.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,390.32 / $27,932.18
| Facility | | $3,775.00 | $19,390.32 | $27,932.18 |