- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,581.30 / $18,710.20 / $31,063.40
| Facility | | $14,581.30 | $18,710.20 | $31,063.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,721.05 / $15,494.19 / $19,693.00
| Facility | | $3,721.05 | $15,494.19 | $19,693.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,415.93 / $17,475.98 / $31,894.74
| Facility | | $11,415.93 | $17,475.98 | $31,894.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,614.96 / $19,956.61 / $28,847.00
| Facility | | $14,614.96 | $19,956.61 | $28,847.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,642.25 / $21,052.21 / $41,749.00
| Facility | | $9,642.25 | $21,052.21 | $41,749.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $21,087.50 / $27,532.77
| Facility | | $9,226.00 | $21,087.50 | $27,532.77 |