- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,531.40 / $23,177.30 / $40,815.19
| Facility | | $14,531.40 | $23,177.30 | $40,815.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,179.35 / $19,654.29 / $28,571.70
| Facility | | $8,179.35 | $19,654.29 | $28,571.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,436.65 / $18,021.58 / $30,190.36
| Facility | | $13,436.65 | $18,021.58 | $30,190.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,804.09 / $15,749.99 / $19,382.41
| Facility | | $10,804.09 | $15,749.99 | $19,382.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $17,535.48 / $26,739.13
| Facility | | $6,600.00 | $17,535.48 | $26,739.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,511.03 / $18,925.38 / $25,730.08
| Facility | | $13,511.03 | $18,925.38 | $25,730.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,517.39 / $37,818.19
| Facility | | $3,775.00 | $14,517.39 | $37,818.19 |