- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,272.30 / $25,954.00 / $45,705.00
| Facility | | $16,272.30 | $25,954.00 | $45,705.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,511.11 / $21,928.30 / $31,877.47
| Facility | | $9,511.11 | $21,928.30 | $31,877.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,046.41 / $20,180.63 / $33,807.26
| Facility | | $15,046.41 | $20,180.63 | $33,807.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,587.97 / $17,851.70 / $22,582.68
| Facility | | $12,587.97 | $17,851.70 | $22,582.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,608.89 / $29,832.86
| Facility | | $6,600.00 | $19,608.89 | $29,832.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,074.27 / $21,115.06 / $28,707.07
| Facility | | $15,074.27 | $21,115.06 | $28,707.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,256.62 / $42,348.93
| Facility | | $3,775.00 | $16,256.62 | $42,348.93 |