- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,661.04 / $22,090.00 / $35,567.69
| Facility | | $9,661.04 | $22,090.00 | $35,567.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,600.21 / $16,600.21 / $20,260.43
| Facility | | $16,600.21 | $16,600.21 | $20,260.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,196.13 / $29,944.68
| Facility | | $1,474.01 | $11,196.13 | $29,944.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,990.31 / $23,096.50 / $32,718.97
| Facility | | $15,990.31 | $23,096.50 | $32,718.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,977.29 / $19,371.66 / $40,682.91
| Facility | | $13,977.29 | $19,371.66 | $40,682.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,123.22 / $19,371.66 / $41,208.19
| Facility | | $13,123.22 | $19,371.66 | $41,208.19 |