- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,020.20 / $19,849.09 / $28,132.70
| Facility | | $11,020.20 | $19,849.09 | $28,132.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,184.00 / $21,967.06 / $31,931.00
| Facility | | $10,184.00 | $21,967.06 | $31,931.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,427.84 / $18,457.32 / $26,786.59
| Facility | | $10,427.84 | $18,457.32 | $26,786.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,839.50 / $19,839.50 / $24,090.84
| Facility | | $19,839.50 | $19,839.50 | $24,090.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,329.81 / $30,570.93 / $39,406.07
| Facility | | $8,329.81 | $30,570.93 | $39,406.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,857.70 / $19,684.20 / $27,663.10
| Facility | | $10,857.70 | $19,684.20 | $27,663.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,809.70 / $16,278.08 / $25,102.20
| Facility | | $9,809.70 | $16,278.08 | $25,102.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $9,142.39 / $12,710.52
| Facility | | $2,621.40 | $9,142.39 | $12,710.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,599.80 / $15,176.42 / $27,528.26
| Facility | | $5,599.80 | $15,176.42 | $27,528.26 |