- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,895.00 / $20,752.80 / $25,058.50
| Facility | | $10,895.00 | $20,752.80 | $25,058.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $18,739.40 / $31,994.14
| Facility | | $6,916.00 | $18,739.40 | $31,994.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,734.00 / $17,765.81 / $21,281.30
| Facility | | $13,734.00 | $17,765.81 | $21,281.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,125.62 / $14,257.90 / $19,233.95
| Facility | | $9,125.62 | $14,257.90 | $19,233.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,997.06 / $18,436.08 / $28,382.60
| Facility | | $10,997.06 | $18,436.08 | $28,382.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,132.85 / $16,700.09 / $21,118.82
| Facility | | $12,132.85 | $16,700.09 | $21,118.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,086.84 / $24,613.98
| Facility | | $3,775.00 | $17,086.84 | $24,613.98 |