- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,484.60 / $19,912.59 / $35,066.10
| Facility | | $12,484.60 | $19,912.59 | $35,066.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,972.65 / $16,367.04 / $24,240.20
| Facility | | $6,972.65 | $16,367.04 | $24,240.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,544.00 / $15,483.11 / $25,937.83
| Facility | | $11,544.00 | $15,483.11 | $25,937.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,721.18 / $13,074.60 / $15,645.70
| Facility | | $8,721.18 | $13,074.60 | $15,645.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $15,117.42 / $22,266.91
| Facility | | $6,409.00 | $15,117.42 | $22,266.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,251.26 / $16,139.42 / $21,949.62
| Facility | | $11,251.26 | $16,139.42 | $21,949.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.06 / $17,570.04 / $24,638.73
| Facility | | $6,608.06 | $17,570.04 | $24,638.73 |