- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,127.52 / $15,408.80 / $27,115.00
| Facility | | $9,127.52 | $15,408.80 | $27,115.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,982.03 / $26,543.24 / $42,902.70
| Facility | | $17,982.03 | $26,543.24 | $42,902.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,302.90 / $14,203.11 / $19,662.00
| Facility | | $8,302.90 | $14,203.11 | $19,662.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,237.94 / $48,537.00 / $48,537.00
| Facility | | $11,237.94 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $13,156.64 / $19,181.22
| Facility | | $1,787.00 | $13,156.64 | $19,181.22 |