- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,185.00 / $21,029.70 / $37,033.40
| Facility | | $13,185.00 | $21,029.70 | $37,033.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,168.44 / $17,821.20 / $26,119.82
| Facility | | $7,168.44 | $17,821.20 | $26,119.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,191.64 / $16,351.74 / $27,392.99
| Facility | | $12,191.64 | $16,351.74 | $27,392.99 |
- 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
- $6,600.00 / $16,045.16 / $24,444.51
| Facility | | $6,600.00 | $16,045.16 | $24,444.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,351.59 / $17,301.30 / $23,522.06
| Facility | | $12,351.59 | $17,301.30 | $23,522.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,172.24 / $34,314.03
| Facility | | $3,775.00 | $13,172.24 | $34,314.03 |