- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,255.80 / $20,954.80 / $33,979.30
| Facility | | $13,255.80 | $20,954.80 | $33,979.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,564.59 / $16,453.65 / $37,599.64
| Facility | | $12,564.59 | $16,453.65 | $37,599.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $14,477.48 / $30,816.85
| Facility | | $100.00 | $14,477.48 | $30,816.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,106.31 / $22,423.98 / $41,950.62
| Facility | | $14,106.31 | $22,423.98 | $41,950.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,520.20 / $28,344.40 / $33,264.56
| Facility | | $19,520.20 | $28,344.40 | $33,264.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,924.53 / $18,586.03 / $40,510.75
| Facility | | $12,924.53 | $18,586.03 | $40,510.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $17,028.84 / $34,862.69
| Facility | | $5,693.00 | $17,028.84 | $34,862.69 |