- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,312.08 / $13,209.80 / $33,486.00
| Facility | | $5,312.08 | $13,209.80 | $33,486.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,377.24 / $8,377.24 / $8,377.24
| Facility | | $8,377.24 | $8,377.24 | $8,377.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,791.76 / $5,564.63 / $9,116.39
| Facility | | $3,791.76 | $5,564.63 | $9,116.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,777.85 / $8,173.10 / $11,765.52
| Facility | | $4,777.85 | $8,173.10 | $11,765.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,501.55 / $16,501.55 / $19,365.97
| Facility | | $16,501.55 | $16,501.55 | $19,365.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $7,727.41 / $11,037.72
| Facility | | $1,787.00 | $7,727.41 | $11,037.72 |