- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,376.29 / $19,764.70 / $23,865.40
| Facility | | $10,376.29 | $19,764.70 | $23,865.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,847.15 / $30,634.84
| Facility | | $6,916.00 | $17,847.15 | $30,634.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,206.60 / $17,017.49 / $20,531.84
| Facility | | $13,206.60 | $17,017.49 | $20,531.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,612.34 / $13,472.50 / $18,423.80
| Facility | | $8,612.34 | $13,472.50 | $18,423.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,540.99 / $17,602.46 / $27,187.10
| Facility | | $10,540.99 | $17,602.46 | $27,187.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,621.81 / $15,814.18 / $20,313.89
| Facility | | $11,621.81 | $15,814.18 | $20,313.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,273.28 / $23,442.02
| Facility | | $3,775.00 | $16,273.28 | $23,442.02 |