- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,756.04 / $18,519.80 / $30,617.10
| Facility | | $8,756.04 | $18,519.80 | $30,617.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,388.83 / $28,771.69 / $37,308.03
| Facility | | $19,388.83 | $28,771.69 | $37,308.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $24,570.61 / $39,285.81
| Facility | | $14,648.00 | $24,570.61 | $39,285.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,775.36 / $26,469.69 / $55,507.78
| Facility | | $13,775.36 | $26,469.69 | $55,507.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $26,294.89 / $39,295.51
| Facility | | $17,646.00 | $26,294.89 | $39,295.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,204.17 / $18,080.09 / $33,796.57
| Facility | | $5,204.17 | $18,080.09 | $33,796.57 |