- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,950.35 / $15,109.70 / $26,588.60
| Facility | | $8,950.35 | $15,109.70 | $26,588.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,877.21 / $7,957.53 / $16,029.04
| Facility | | $7,877.21 | $7,957.53 | $16,029.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,478.49 / $13,991.18 / $23,133.64
| Facility | | $9,478.49 | $13,991.18 | $23,133.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,141.74 / $13,927.42 / $19,352.97
| Facility | | $8,141.74 | $13,927.42 | $19,352.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,422.95 / $29,422.95 / $34,530.33
| Facility | | $29,422.95 | $29,422.95 | $34,530.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $13,167.95 / $18,808.90
| Facility | | $1,787.00 | $13,167.95 | $18,808.90 |