- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,719.34 / $21,423.30 / $35,567.69
| Facility | | $15,719.34 | $21,423.30 | $35,567.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,394.00 / $17,887.06 / $21,730.00
| Facility | | $11,394.00 | $17,887.06 | $21,730.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,690.09 / $19,010.50 / $32,204.19
| Facility | | $12,690.09 | $19,010.50 | $32,204.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,433.00 / $22,850.38 / $32,856.07
| Facility | | $18,433.00 | $22,850.38 | $32,856.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,040.40 / $22,940.38 / $56,745.06
| Facility | | $11,040.40 | $22,940.38 | $56,745.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,040.40 / $21,902.65 / $30,783.09
| Facility | | $11,040.40 | $21,902.65 | $30,783.09 |