- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,280.71 / $11,426.10 / $19,123.20
| Facility | | $8,280.71 | $11,426.10 | $19,123.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,920.16 / $13,353.07 / $21,258.47
| Facility | | $11,920.16 | $13,353.07 | $21,258.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $13,277.94 / $20,012.11
| Facility | | $2,423.00 | $13,277.94 | $20,012.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,475.25 / $12,854.83 / $21,557.47
| Facility | | $8,475.25 | $12,854.83 | $21,557.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,600.00 / $10,374.56 / $23,069.03
| Facility | | $2,600.00 | $10,374.56 | $23,069.03 |