- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,076.29 / $19,193.20 / $23,175.40
| Facility | | $10,076.29 | $19,193.20 | $23,175.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,331.15 / $29,749.12
| Facility | | $6,916.00 | $17,331.15 | $29,749.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,235.40 / $16,551.16 / $20,098.43
| Facility | | $13,235.40 | $16,551.16 | $20,098.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,718.89 / $13,433.40 / $17,969.05
| Facility | | $8,718.89 | $13,433.40 | $17,969.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,283.75 / $17,263.59 / $26,516.05
| Facility | | $10,283.75 | $17,263.59 | $26,516.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,334.95 / $15,665.40 / $19,712.06
| Facility | | $11,334.95 | $15,665.40 | $19,712.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,802.78 / $22,764.26
| Facility | | $3,775.00 | $15,802.78 | $22,764.26 |