- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.00 / $16,906.00 / $27,307.70
| Facility | | $8,317.00 | $16,906.00 | $27,307.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $22,210.77 / $33,816.85
| Facility | | $1,613.00 | $22,210.77 | $33,816.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,647.00 / $21,914.76 / $35,039.39
| Facility | | $14,647.00 | $21,914.76 | $35,039.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,286.38 / $23,608.57 / $49,507.91
| Facility | | $12,286.38 | $23,608.57 | $49,507.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,501.03 / $8,737.87 / $9,071.33
| Facility | | $6,501.03 | $8,737.87 | $9,071.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,332.24 / $23,452.66 / $35,048.04
| Facility | | $17,332.24 | $23,452.66 | $35,048.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,870.00 / $16,763.00 / $30,143.48
| Facility | | $4,870.00 | $16,763.00 | $30,143.48 |