- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,086.50 / $19,106.40 / $30,982.20
| Facility | | $12,086.50 | $19,106.40 | $30,982.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,639.77 / $16,552.09 / $37,824.62
| Facility | | $12,639.77 | $16,552.09 | $37,824.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,684.00 / $12,152.89 / $29,314.79
| Facility | | $1,684.00 | $12,152.89 | $29,314.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,366.75 / $19,798.31 / $36,937.46
| Facility | | $11,366.75 | $19,798.31 | $36,937.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,637.00 / $28,514.00 / $33,463.60
| Facility | | $19,637.00 | $28,514.00 | $33,463.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,775.02 / $16,946.63 / $35,485.55
| Facility | | $12,775.02 | $16,946.63 | $35,485.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $15,526.81 / $31,787.60
| Facility | | $5,693.00 | $15,526.81 | $31,787.60 |