- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,252.16 / $25,903.30 / $43,910.40
| Facility | | $17,252.16 | $25,903.30 | $43,910.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,021.00 / $23,070.92 / $33,681.30
| Facility | | $11,021.00 | $23,070.92 | $33,681.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,401.00 / $20,417.53 / $34,204.12
| Facility | | $13,401.00 | $20,417.53 | $34,204.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,768.58 / $17,512.11 / $25,600.00
| Facility | | $9,768.58 | $17,512.11 | $25,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,152.37 / $20,175.21 / $29,424.44
| Facility | | $9,152.37 | $20,175.21 | $29,424.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,250.90 / $21,378.42 / $30,930.48
| Facility | | $15,250.90 | $21,378.42 | $30,930.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $12,697.00 / $27,972.86
| Facility | | $5,000.00 | $12,697.00 | $27,972.86 |