- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,577.40 / $21,271.60 / $35,315.90
| Facility | | $16,577.40 | $21,271.60 | $35,315.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,212.00 / $18,588.97 / $21,734.46
| Facility | | $7,212.00 | $18,588.97 | $21,734.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,788.15 / $19,576.63 / $32,453.05
| Facility | | $12,788.15 | $19,576.63 | $32,453.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,461.32 / $23,700.81 / $33,558.00
| Facility | | $18,461.32 | $23,700.81 | $33,558.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,962.26 / $22,778.01 / $57,183.57
| Facility | | $10,962.26 | $22,778.01 | $57,183.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,962.26 / $21,747.62 / $30,565.21
| Facility | | $10,962.26 | $21,747.62 | $30,565.21 |