- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,856.10 / $25,290.20 / $44,536.00
| Facility | | $15,856.10 | $25,290.20 | $44,536.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,501.67 / $21,687.14 / $31,785.98
| Facility | | $8,501.67 | $21,687.14 | $31,785.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,661.56 / $19,664.46 / $32,942.57
| Facility | | $14,661.56 | $19,664.46 | $32,942.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,133.12 / $17,498.09 / $21,766.69
| Facility | | $12,133.12 | $17,498.09 | $21,766.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,835.31 / $19,174.83 / $29,747.24
| Facility | | $6,835.31 | $19,174.83 | $29,747.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,031.01 / $21,054.46 / $28,624.68
| Facility | | $15,031.01 | $21,054.46 | $28,624.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,840.82 / $41,265.76
| Facility | | $3,775.00 | $15,840.82 | $41,265.76 |