- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,612.50 / $20,214.70 / $24,408.80
| Facility | | $10,612.50 | $20,214.70 | $24,408.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $18,253.50 / $31,332.35
| Facility | | $6,916.00 | $18,253.50 | $31,332.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,306.84 / $17,431.98 / $20,972.48
| Facility | | $15,306.84 | $17,431.98 | $20,972.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,679.70 / $14,679.50 / $19,709.23
| Facility | | $10,679.70 | $14,679.50 | $19,709.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,872.78 / $18,731.09 / $28,053.59
| Facility | | $10,872.78 | $18,731.09 | $28,053.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,992.21 / $16,564.71 / $21,368.97
| Facility | | $11,992.21 | $16,564.71 | $21,368.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,643.80 / $23,975.76
| Facility | | $3,775.00 | $16,643.80 | $23,975.76 |