- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,932.60 / $18,456.09 / $32,477.40
| Facility | | $10,932.60 | $18,456.09 | $32,477.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,991.49 / $18,692.59 / $20,727.65
| Facility | | $17,991.49 | $18,692.59 | $20,727.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,832.31 / $13,148.47 / $21,619.17
| Facility | | $8,832.31 | $13,148.47 | $21,619.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,944.94 / $17,012.00 / $23,490.52
| Facility | | $9,944.94 | $17,012.00 | $23,490.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,673.55 / $33,673.55 / $39,518.76
| Facility | | $33,673.55 | $33,673.55 | $39,518.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $16,084.32 / $22,974.61
| Facility | | $1,787.00 | $16,084.32 | $22,974.61 |