- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.87 / $19,515.00 / $31,421.60
| Facility | | $8,534.87 | $19,515.00 | $31,421.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,592.08 / $27,148.51
| Facility | | $1,474.01 | $10,592.08 | $27,148.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,126.36 / $20,404.20 / $28,905.00
| Facility | | $14,126.36 | $20,404.20 | $28,905.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,593.48 / $17,113.56 / $35,940.58
| Facility | | $11,593.48 | $17,113.56 | $35,940.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,593.48 / $20,864.00 / $30,853.74
| Facility | | $11,593.48 | $20,864.00 | $30,853.74 |