- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,027.51 / $11,495.40 / $18,509.09
| Facility | | $5,027.51 | $11,495.40 | $18,509.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,619.76 / $14,619.76 / $14,619.76
| Facility | | $14,619.76 | $14,619.76 | $14,619.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $16,316.39
| Facility | | $1,474.01 | $6,242.69 | $16,316.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,321.19 / $12,019.19 / $17,026.62
| Facility | | $8,321.19 | $12,019.19 | $17,026.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,273.64 / $12,299.23 / $28,820.00
| Facility | | $7,273.64 | $12,299.23 | $28,820.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,829.19 / $12,299.23 / $21,444.33
| Facility | | $6,829.19 | $12,299.23 | $21,444.33 |