- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,828.69 / $16,873.23 / $32,638.27
| Facility | | $12,828.69 | $16,873.23 | $32,638.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.52 / $679.86 / $17,434.59
| Facility | | $379.52 | $679.86 | $17,434.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $598.08 / $930.43 / $15,091.68
| Facility | | $598.08 | $930.43 | $15,091.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.00 / $9,696.00 / $15,622.00
| Facility | | $8,148.00 | $9,696.00 | $15,622.00 |