- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,370.20 / $17,506.59 / $30,806.60
| Facility | | $10,370.20 | $17,506.59 | $30,806.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,872.07 / $10,061.00 / $16,635.30
| Facility | | $6,872.07 | $10,061.00 | $16,635.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,433.32 / $16,136.82 / $22,282.06
| Facility | | $9,433.32 | $16,136.82 | $22,282.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,425.40 / $32,425.40 / $38,053.96
| Facility | | $32,425.40 | $32,425.40 | $38,053.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,947.88 / $21,792.69
| Facility | | $1,787.00 | $14,947.88 | $21,792.69 |