- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,443.08 / $14,253.30 / $25,081.70
| Facility | | $8,443.08 | $14,253.30 | $25,081.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,256.00 / $13,916.51 / $15,645.26
| Facility | | $5,256.00 | $13,916.51 | $15,645.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,946.74 / $11,733.52 / $19,292.66
| Facility | | $7,946.74 | $11,733.52 | $19,292.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,680.30 / $13,138.07 / $18,281.38
| Facility | | $7,680.30 | $13,138.07 | $18,281.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,947.85 / $26,947.85 / $31,625.59
| Facility | | $26,947.85 | $26,947.85 | $31,625.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $12,421.64 / $17,742.89
| Facility | | $1,787.00 | $12,421.64 | $17,742.89 |