- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,690.05 / $11,561.70 / $20,313.80
| Facility | | $5,690.05 | $11,561.70 | $20,313.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,269.12 / $19,446.31 / $26,680.00
| Facility | | $13,269.12 | $19,446.31 | $26,680.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,893.25 / $17,646.00 / $26,065.40
| Facility | | $12,893.25 | $17,646.00 | $26,065.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,139.69 / $17,562.14 / $36,828.37
| Facility | | $9,139.69 | $17,562.14 | $36,828.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,893.25 / $17,648.00 / $26,071.83
| Facility | | $12,893.25 | $17,648.00 | $26,071.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,870.00 / $14,977.77 / $22,959.00
| Facility | | $4,870.00 | $14,977.77 | $22,959.00 |