- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,132.40 / $24,135.90 / $42,503.30
| Facility | | $15,132.40 | $24,135.90 | $42,503.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,824.09 / $20,965.41 / $30,477.70
| Facility | | $7,824.09 | $20,965.41 | $30,477.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,992.38 / $18,766.93 / $31,439.02
| Facility | | $13,992.38 | $18,766.93 | $31,439.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,914.08 / $16,653.45 / $19,579.74
| Facility | | $10,914.08 | $16,653.45 | $19,579.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.74 / $18,884.00 / $28,522.88
| Facility | | $6,500.74 | $18,884.00 | $28,522.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,412.35 / $20,369.47 / $27,666.50
| Facility | | $14,412.35 | $20,369.47 | $27,666.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,117.82 / $39,382.32
| Facility | | $3,775.00 | $15,117.82 | $39,382.32 |