- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,731.40 / $20,125.90 / $32,635.30
| Facility | | $12,731.40 | $20,125.90 | $32,635.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,730.09 / $24,264.33 / $25,416.31
| Facility | | $10,730.09 | $24,264.33 | $25,416.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,600.63 / $17,853.89 / $41,099.57
| Facility | | $14,600.63 | $17,853.89 | $41,099.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,803.22 / $31,061.88
| Facility | | $100.00 | $14,803.22 | $31,061.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,223.02 / $21,342.79 / $37,055.72
| Facility | | $14,223.02 | $21,342.79 | $37,055.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,523.84 / $28,349.70 / $33,270.78
| Facility | | $19,523.84 | $28,349.70 | $33,270.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,813.22 / $17,868.79 / $37,378.92
| Facility | | $12,813.22 | $17,868.79 | $37,378.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $16,355.26 / $33,483.65
| Facility | | $5,693.00 | $16,355.26 | $33,483.65 |