- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,013.00 / $25,540.30 / $44,976.60
| Facility | | $16,013.00 | $25,540.30 | $44,976.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,928.25 / $22,315.68 / $32,658.11
| Facility | | $7,928.25 | $22,315.68 | $32,658.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,806.60 / $19,858.99 / $33,268.44
| Facility | | $14,806.60 | $19,858.99 | $33,268.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,138.85 / $18,100.50 / $21,776.96
| Facility | | $12,138.85 | $18,100.50 | $21,776.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $19,560.45 / $30,980.17
| Facility | | $6,600.00 | $19,560.45 | $30,980.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,654.00 / $21,927.10 / $29,811.09
| Facility | | $15,654.00 | $21,927.10 | $29,811.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,997.52 / $41,673.97
| Facility | | $3,775.00 | $15,997.52 | $41,673.97 |