- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,048.79 / $19,140.90 / $23,112.10
| Facility | | $10,048.79 | $19,140.90 | $23,112.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,283.84 / $29,667.93
| Facility | | $6,916.00 | $17,283.84 | $29,667.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,315.60 / $16,505.98 / $20,058.70
| Facility | | $12,315.60 | $16,505.98 | $20,058.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,721.18 / $13,470.80 / $18,048.52
| Facility | | $8,721.18 | $13,470.80 | $18,048.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,329.71 / $17,258.96 / $26,136.70
| Facility | | $10,329.71 | $17,258.96 | $26,136.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,385.08 / $15,231.89 / $19,570.88
| Facility | | $11,385.08 | $15,231.89 | $19,570.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,394.00 / $17,865.87 / $21,785.69
| Facility | | $10,394.00 | $17,865.87 | $21,785.69 |