- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,118.79 / $19,274.20 / $23,273.10
| Facility | | $10,118.79 | $19,274.20 | $23,273.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,404.25 / $29,471.47
| Facility | | $6,916.00 | $17,404.25 | $29,471.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,090.40 / $16,365.01 / $20,159.82
| Facility | | $14,090.40 | $16,365.01 | $20,159.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,103.85 / $13,498.00 / $17,717.40
| Facility | | $9,103.85 | $13,498.00 | $17,717.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,143.29 / $17,122.54 / $26,144.70
| Facility | | $10,143.29 | $17,122.54 | $26,144.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,176.21 / $15,490.18 / $19,704.63
| Facility | | $11,176.21 | $15,490.18 | $19,704.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,005.16 / $22,860.28
| Facility | | $3,775.00 | $17,005.16 | $22,860.28 |