- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,825.71 / $18,141.50 / $42,426.00
| Facility | | $9,825.71 | $18,141.50 | $42,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,249.52 / $25,746.88
| Facility | | $1,474.01 | $12,249.52 | $25,746.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,132.13 / $19,732.89 / $32,413.00
| Facility | | $13,132.13 | $19,732.89 | $32,413.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,478.92 / $19,833.95 / $38,325.00
| Facility | | $11,478.92 | $19,833.95 | $38,325.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,273.85 / $19,447.23 / $28,682.23
| Facility | | $12,273.85 | $19,447.23 | $28,682.23 |