- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,615.30 / $23,311.00 / $41,050.80
| Facility | | $14,615.30 | $23,311.00 | $41,050.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $19,076.15 / $27,858.10
| Facility | | $6,746.00 | $19,076.15 | $27,858.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,514.20 / $18,125.59 / $30,364.59
| Facility | | $13,514.20 | $18,125.59 | $30,364.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,759.20 / $14,619.00 / $17,507.90
| Facility | | $9,759.20 | $14,619.00 | $17,507.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $16,874.15 / $26,071.29
| Facility | | $6,409.00 | $16,874.15 | $26,071.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,173.58 / $18,452.70 / $25,087.45
| Facility | | $13,173.58 | $18,452.70 | $25,087.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,601.17 / $38,036.44
| Facility | | $3,775.00 | $14,601.17 | $38,036.44 |