- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,290.59 / $16,246.80 / $26,973.50
| Facility | | $12,290.59 | $16,246.80 | $26,973.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,131.00 / $13,508.00 / $18,890.00
| Facility | | $10,131.00 | $13,508.00 | $18,890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,960.82 / $13,717.59 / $22,757.64
| Facility | | $8,960.82 | $13,717.59 | $22,757.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,100.33 / $18,102.13 / $27,336.00
| Facility | | $14,100.33 | $18,102.13 | $27,336.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,705.62 / $16,646.55 / $40,069.24
| Facility | | $8,705.62 | $16,646.55 | $40,069.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,705.62 / $16,610.33 / $23,345.00
| Facility | | $8,705.62 | $16,610.33 | $23,345.00 |