- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,073.79 / $19,188.50 / $23,169.60
| Facility | | $10,073.79 | $19,188.50 | $23,169.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,326.84 / $29,741.74
| Facility | | $6,916.00 | $17,326.84 | $29,741.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,581.86 / $16,719.80 / $20,194.16
| Facility | | $14,581.86 | $16,719.80 | $20,194.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,252.01 / $14,661.90 / $19,183.05
| Facility | | $10,252.01 | $14,661.90 | $19,183.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,359.54 / $17,896.25 / $27,222.48
| Facility | | $10,359.54 | $17,896.25 | $27,222.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,418.50 / $15,826.00 / $20,809.23
| Facility | | $11,418.50 | $15,826.00 | $20,809.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,798.86 / $22,758.62
| Facility | | $3,775.00 | $15,798.86 | $22,758.62 |