- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,500.37 / $19,649.50 / $52,206.90
| Facility | | $14,500.37 | $19,649.50 | $52,206.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,754.00 / $15,035.29 / $18,815.72
| Facility | | $6,754.00 | $15,035.29 | $18,815.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,482.70 / $17,549.93 / $29,140.15
| Facility | | $11,482.70 | $17,549.93 | $29,140.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,919.88 / $20,936.96 / $30,264.00
| Facility | | $16,919.88 | $20,936.96 | $30,264.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,518.13 / $20,760.25 / $51,346.10
| Facility | | $10,518.13 | $20,760.25 | $51,346.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,115.91 / $20,068.58 / $28,205.40
| Facility | | $10,115.91 | $20,068.58 | $28,205.40 |