- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,691.50 / $25,027.60 / $44,073.70
| Facility | | $15,691.50 | $25,027.60 | $44,073.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,728.73 / $22,188.58 / $32,520.93
| Facility | | $9,728.73 | $22,188.58 | $32,520.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,509.34 / $19,460.30 / $32,600.56
| Facility | | $14,509.34 | $19,460.30 | $32,600.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,878.98 / $18,649.00 / $23,104.75
| Facility | | $12,878.98 | $18,649.00 | $23,104.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,624.71 / $19,593.98 / $30,435.06
| Facility | | $6,624.71 | $19,593.98 | $30,435.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,378.55 / $21,541.28 / $29,286.54
| Facility | | $15,378.55 | $21,541.28 | $29,286.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,676.36 / $40,837.33
| Facility | | $3,775.00 | $15,676.36 | $40,837.33 |