- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,273.40 / $19,575.70 / $34,472.90
| Facility | | $12,273.40 | $19,575.70 | $34,472.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $15,823.77 / $22,522.62
| Facility | | $6,746.00 | $15,823.77 | $22,522.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,348.71 / $15,221.18 / $25,499.03
| Facility | | $11,348.71 | $15,221.18 | $25,499.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,737.04 / $12,001.50 / $17,495.56
| Facility | | $9,737.04 | $12,001.50 | $17,495.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $13,504.88 / $21,704.33
| Facility | | $6,409.00 | $13,504.88 | $21,704.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,261.36 / $15,438.39 / $21,166.29
| Facility | | $11,261.36 | $15,438.39 | $21,166.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $12,261.50 / $31,941.56
| Facility | | $3,775.00 | $12,261.50 | $31,941.56 |