- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,794.23 / $18,563.00 / $30,750.60
| Facility | | $8,794.23 | $18,563.00 | $30,750.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,923.59 / $31,049.19 / $40,261.24
| Facility | | $20,923.59 | $31,049.19 | $40,261.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $24,677.75 / $39,457.12
| Facility | | $14,648.00 | $24,677.75 | $39,457.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,835.43 / $26,585.12 / $55,749.83
| Facility | | $13,835.43 | $26,585.12 | $55,749.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $26,409.56 / $39,466.87
| Facility | | $17,646.00 | $26,409.56 | $39,466.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $18,158.93 / $33,943.94
| Facility | | $5,281.00 | $18,158.93 | $33,943.94 |