- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,723.27 / $20,155.40 / $33,462.69
| Facility | | $12,723.27 | $20,155.40 | $33,462.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,947.00 / $15,882.46 / $16,561.82
| Facility | | $7,947.00 | $15,882.46 | $16,561.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,331.21 / $18,472.88 / $31,293.45
| Facility | | $12,331.21 | $18,472.88 | $31,293.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,373.31 / $21,498.05 / $30,911.57
| Facility | | $17,373.31 | $21,498.05 | $30,911.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,387.01 / $20,651.33 / $55,140.30
| Facility | | $10,387.01 | $20,651.33 | $55,140.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,387.01 / $20,606.40 / $28,961.28
| Facility | | $10,387.01 | $20,606.40 | $28,961.28 |