- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,877.80 / $20,051.70 / $35,285.19
| Facility | | $11,877.80 | $20,051.70 | $35,285.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,628.00 / $10,512.00 / $23,633.88
| Facility | | $2,628.00 | $10,512.00 | $23,633.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,892.33 / $11,841.20 / $19,318.34
| Facility | | $7,892.33 | $11,841.20 | $19,318.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,804.72 / $18,433.00 / $25,521.39
| Facility | | $10,804.72 | $18,433.00 | $25,521.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,933.80 / $38,933.80 / $45,692.12
| Facility | | $38,933.80 | $38,933.80 | $45,692.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $17,474.88 / $24,960.87
| Facility | | $1,787.00 | $17,474.88 | $24,960.87 |