- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,588.00 / $19,636.50 / $31,617.20
| Facility | | $8,588.00 | $19,636.50 | $31,617.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,786.24 / $26,746.35
| Facility | | $1,474.01 | $9,786.24 | $26,746.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,667.33 / $19,447.09 / $29,084.92
| Facility | | $13,667.33 | $19,447.09 | $29,084.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,665.64 / $16,744.97 / $36,164.31
| Facility | | $11,665.64 | $16,744.97 | $36,164.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,665.64 / $16,744.97 / $31,045.79
| Facility | | $11,665.64 | $16,744.97 | $31,045.79 |