- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,376.70 / $20,893.90 / $36,767.30
| Facility | | $12,376.70 | $20,893.90 | $36,767.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,369.12 / $18,117.52 / $29,451.00
| Facility | | $10,369.12 | $18,117.52 | $29,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,115.82 / $18,048.68 / $29,414.14
| Facility | | $12,115.82 | $18,048.68 | $29,414.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.56 / $19,132.03 / $26,593.38
| Facility | | $11,258.56 | $19,132.03 | $26,593.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,800.35 / $39,800.35 / $46,709.09
| Facility | | $39,800.35 | $39,800.35 | $46,709.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $18,208.90 / $26,009.32
| Facility | | $1,787.00 | $18,208.90 | $26,009.32 |