- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,260.08 / $10,017.00 / $26,566.30
| Facility | | $6,260.08 | $10,017.00 | $26,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,256.00 / $14,448.52 / $27,731.35
| Facility | | $5,256.00 | $14,448.52 | $27,731.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,020.06 / $16,305.76 / $26,713.31
| Facility | | $11,020.06 | $16,305.76 | $26,713.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,931.00 / $13,127.99 / $19,215.11
| Facility | | $6,931.00 | $13,127.99 | $19,215.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,019.00 / $28,877.05 / $33,889.67
| Facility | | $21,019.00 | $28,877.05 | $33,889.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $14,355.39 / $21,631.00
| Facility | | $2,520.00 | $14,355.39 | $21,631.00 |