- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,940.30 / $19,171.00 / $31,828.30
| Facility | | $14,940.30 | $19,171.00 | $31,828.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,743.00 / $7,132.00 / $26,829.60
| Facility | | $3,743.00 | $7,132.00 | $26,829.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,934.78 / $18,270.25 / $30,287.40
| Facility | | $11,934.78 | $18,270.25 | $30,287.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,524.75 / $20,468.00 / $30,191.00
| Facility | | $16,524.75 | $20,468.00 | $30,191.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,879.68 / $19,642.66 / $53,367.60
| Facility | | $9,879.68 | $19,642.66 | $53,367.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,272.50 / $18,127.25 / $27,195.01
| Facility | | $10,272.50 | $18,127.25 | $27,195.01 |