- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,537.50 / $20,071.80 / $24,236.30
| Facility | | $10,537.50 | $20,071.80 | $24,236.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $18,124.50 / $31,110.92
| Facility | | $6,916.00 | $18,124.50 | $31,110.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,205.94 / $17,308.81 / $20,764.80
| Facility | | $15,205.94 | $17,308.81 | $20,764.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,515.37 / $15,033.10 / $19,454.59
| Facility | | $10,515.37 | $15,033.10 | $19,454.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.47 / $18,685.43 / $28,000.08
| Facility | | $10,845.47 | $18,685.43 | $28,000.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,962.97 / $16,419.66 / $21,403.64
| Facility | | $11,962.97 | $16,419.66 | $21,403.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,526.16 / $23,806.32
| Facility | | $3,775.00 | $16,526.16 | $23,806.32 |