- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $11,181.50 / $19,789.00
| Facility | | $3,182.00 | $11,181.50 | $19,789.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,186.88 / $17,396.50
| Facility | | $1,474.01 | $7,186.88 | $17,396.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,093.97 / $12,162.34 / $16,561.68
| Facility | | $8,093.97 | $12,162.34 | $16,561.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,075.02 / $11,963.38 / $35,722.00
| Facility | | $7,075.02 | $11,963.38 | $35,722.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,642.71 / $9,805.54 / $21,211.11
| Facility | | $6,642.71 | $9,805.54 | $21,211.11 |