- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,006.29 / $19,059.90 / $23,014.40
| Facility | | $10,006.29 | $19,059.90 | $23,014.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $17,210.75 / $29,174.04
| Facility | | $6,916.00 | $17,210.75 | $29,174.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,240.80 / $16,202.40 / $19,997.30
| Facility | | $13,240.80 | $16,202.40 | $19,997.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,851.79 / $13,380.70 / $17,538.59
| Facility | | $8,851.79 | $13,380.70 | $17,538.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,042.66 / $16,932.18 / $25,880.84
| Facility | | $10,042.66 | $16,932.18 | $25,880.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,063.41 / $15,339.15 / $19,258.82
| Facility | | $11,063.41 | $15,339.15 | $19,258.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,693.00 / $22,606.12
| Facility | | $3,775.00 | $15,693.00 | $22,606.12 |