- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,352.70 / $23,671.50 / $38,114.19
| Facility | | $10,352.70 | $23,671.50 | $38,114.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,975.41 / $21,856.97 / $35,733.64
| Facility | | $17,975.41 | $21,856.97 | $35,733.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,678.95 / $32,153.81
| Facility | | $1,474.01 | $11,678.95 | $32,153.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,135.15 / $24,750.12 / $35,061.51
| Facility | | $17,135.15 | $24,750.12 | $35,061.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,978.00 / $20,758.61 / $43,595.63
| Facility | | $14,978.00 | $20,758.61 | $43,595.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,062.79 / $20,758.61 / $44,158.54
| Facility | | $14,062.79 | $20,758.61 | $44,158.54 |