- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,086.30 / $24,926.70 / $30,098.40
| Facility | | $13,086.30 | $24,926.70 | $30,098.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $22,508.35 / $38,635.83
| Facility | | $12,397.00 | $22,508.35 | $38,635.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,635.68 / $21,495.34 / $24,347.72
| Facility | | $18,635.68 | $21,495.34 | $24,347.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,237.09 / $19,532.70 / $26,444.78
| Facility | | $13,237.09 | $19,532.70 | $26,444.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,588.13 / $23,485.65 / $35,563.60
| Facility | | $13,588.13 | $23,485.65 | $35,563.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,036.22 / $20,531.34 / $27,904.98
| Facility | | $15,036.22 | $20,531.34 | $27,904.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,992.23 / $31,642.55
| Facility | | $3,775.00 | $21,992.23 | $31,642.55 |