- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,096.30 / $21,136.10 / $25,521.40
| Facility | | $11,096.30 | $21,136.10 | $25,521.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $19,085.55 / $32,760.57
| Facility | | $6,916.00 | $19,085.55 | $32,760.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,265.80 / $18,094.04 / $21,572.06
| Facility | | $15,265.80 | $18,094.04 | $21,572.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,968.87 / $14,900.50 / $19,823.34
| Facility | | $9,968.87 | $14,900.50 | $19,823.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,327.63 / $18,897.90 / $29,252.35
| Facility | | $11,327.63 | $18,897.90 | $29,252.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,504.65 / $17,073.34 / $21,007.37
| Facility | | $12,504.65 | $17,073.34 | $21,007.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $17,402.47 / $25,068.65
| Facility | | $3,775.00 | $17,402.47 | $25,068.65 |