- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,907.10 / $22,181.50 / $39,061.69
| Facility | | $13,907.10 | $22,181.50 | $39,061.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $18,787.90 / $27,312.22
| Facility | | $6,746.00 | $18,787.90 | $27,312.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,859.38 / $17,247.33 / $28,893.31
| Facility | | $12,859.38 | $17,247.33 | $28,893.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,434.95 / $14,391.30 / $17,145.37
| Facility | | $9,434.95 | $14,391.30 | $17,145.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $16,648.74 / $25,560.42
| Facility | | $6,409.00 | $16,648.74 | $25,560.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,915.45 / $18,091.12 / $24,595.86
| Facility | | $12,915.45 | $18,091.12 | $24,595.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,893.68 / $36,193.42
| Facility | | $3,775.00 | $13,893.68 | $36,193.42 |