- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,002.12 / $14,567.00 / $33,670.18
| Facility | | $1,002.12 | $14,567.00 | $33,670.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,412.86 / $26,491.24 / $44,304.52
| Facility | | $9,412.86 | $26,491.24 | $44,304.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,823.91 / $16,823.91 / $21,619.04
| Facility | | $16,823.91 | $16,823.91 | $21,619.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.86 / $510.96 / $830.51
| Facility | | $370.86 | $510.96 | $830.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,340.00 / $24,040.00 / $41,346.00
| Facility | | $3,340.00 | $24,040.00 | $41,346.00 |