- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,031.49 / $18,364.00 / $29,568.40
| Facility | | $8,031.49 | $18,364.00 | $29,568.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $25,003.64
| Facility | | $1,474.01 | $6,242.69 | $25,003.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,293.19 / $19,200.77 / $27,200.20
| Facility | | $13,293.19 | $19,200.77 | $27,200.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,619.71 / $16,104.21 / $33,820.83
| Facility | | $11,619.71 | $16,104.21 | $33,820.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,909.70 / $16,104.21 / $34,257.53
| Facility | | $10,909.70 | $16,104.21 | $34,257.53 |