- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,354.40 / $22,894.90 / $40,318.00
| Facility | | $14,354.40 | $22,894.90 | $40,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,220.52 / $18,595.98 / $27,184.13
| Facility | | $7,220.52 | $18,595.98 | $27,184.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,272.95 / $17,802.02 / $29,822.54
| Facility | | $13,272.95 | $17,802.02 | $29,822.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,772.01 / $15,281.30 / $19,324.87
| Facility | | $10,772.01 | $15,281.30 | $19,324.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $16,447.54 / $25,440.56
| Facility | | $6,409.00 | $16,447.54 | $25,440.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,854.88 / $18,006.28 / $24,480.52
| Facility | | $12,854.88 | $18,006.28 | $24,480.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,340.51 / $37,357.43
| Facility | | $3,775.00 | $14,340.51 | $37,357.43 |