- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,445.77 / $11,227.00 / $19,441.80
| Facility | | $5,445.77 | $11,227.00 | $19,441.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,321.35 / $19,767.97 / $25,632.98
| Facility | | $13,321.35 | $19,767.97 | $25,632.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,339.73 / $17,400.06 / $24,946.38
| Facility | | $12,339.73 | $17,400.06 | $24,946.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,747.32 / $16,808.18 / $35,247.28
| Facility | | $8,747.32 | $16,808.18 | $35,247.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,085.71 / $6,717.70 / $7,506.75
| Facility | | $6,085.71 | $6,717.70 | $7,506.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,339.73 / $17,648.00 / $24,952.54
| Facility | | $12,339.73 | $17,648.00 | $24,952.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,870.00 / $14,334.76 / $21,973.35
| Facility | | $4,870.00 | $14,334.76 | $21,973.35 |