- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,515.00 / $20,029.00 / $24,184.50
| Facility | | $10,515.00 | $20,029.00 | $24,184.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $18,085.80 / $31,044.49
| Facility | | $6,916.00 | $18,085.80 | $31,044.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,175.64 / $17,271.83 / $20,831.66
| Facility | | $15,175.64 | $17,271.83 | $20,831.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,014.69 / $14,368.40 / $18,988.91
| Facility | | $10,014.69 | $14,368.40 | $18,988.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,859.12 / $18,265.80 / $28,181.52
| Facility | | $10,859.12 | $18,265.80 | $28,181.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,978.29 / $16,539.57 / $21,542.34
| Facility | | $11,978.29 | $16,539.57 | $21,542.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,490.88 / $23,755.49
| Facility | | $3,775.00 | $16,490.88 | $23,755.49 |