- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,565.70 / $24,827.00 / $43,720.30
| Facility | | $15,565.70 | $24,827.00 | $43,720.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,938.48 / $21,510.28 / $31,526.76
| Facility | | $7,938.48 | $21,510.28 | $31,526.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,393.03 / $19,304.30 / $32,339.21
| Facility | | $14,393.03 | $19,304.30 | $32,339.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,446.84 / $16,905.90 / $20,535.50
| Facility | | $11,446.84 | $16,905.90 | $20,535.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $18,923.34 / $29,504.65
| Facility | | $6,600.00 | $18,923.34 | $29,504.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,908.43 / $20,882.75 / $28,391.25
| Facility | | $14,908.43 | $20,882.75 | $28,391.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,550.68 / $40,509.96
| Facility | | $3,775.00 | $15,550.68 | $40,509.96 |