- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,514.30 / $13,960.20 / $16,095.30
| Facility | | $11,514.30 | $13,960.20 | $16,095.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,306.77 / $16,306.77 / $16,306.77
| Facility | | $16,306.77 | $16,306.77 | $16,306.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $2,554.00 / $3,843.00
| Facility | | $1,252.00 | $2,554.00 | $3,843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,242.79 / $16,303.71 / $27,982.27
| Facility | | $10,242.79 | $16,303.71 | $27,982.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $5,310.00 / $24,702.81
| Facility | | $2,156.00 | $5,310.00 | $24,702.81 |