- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,533.80 / $23,874.30 / $28,827.60
| Facility | | $12,533.80 | $23,874.30 | $28,827.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $21,558.05 / $37,804.18
| Facility | | $12,397.00 | $21,558.05 | $37,804.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,889.60 / $20,130.12 / $23,549.50
| Facility | | $14,889.60 | $20,130.12 | $23,549.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,027.09 / $15,126.60 / $23,752.70
| Facility | | $9,027.09 | $15,126.60 | $23,752.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,539.67 / $21,209.11 / $28,713.27
| Facility | | $13,539.67 | $21,209.11 | $28,713.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,882.70 / $17,032.28 / $22,660.56
| Facility | | $13,882.70 | $17,032.28 | $22,660.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,063.72 / $30,306.61
| Facility | | $3,775.00 | $21,063.72 | $30,306.61 |