- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,140.30 / $18,730.80 / $32,771.80
| Facility | | $14,140.30 | $18,730.80 | $32,771.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,070.35 / $10,330.00 / $14,781.42
| Facility | | $9,070.35 | $10,330.00 | $14,781.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $15,173.84 / $30,849.02
| Facility | | $5,939.30 | $15,173.84 | $30,849.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,620.98 / $17,970.62 / $29,259.45
| Facility | | $12,620.98 | $17,970.62 | $29,259.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $19,302.96 / $29,482.89
| Facility | | $3,496.00 | $19,302.96 | $29,482.89 |