- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,921.10 / $15,060.30 / $26,501.80
| Facility | | $8,921.10 | $15,060.30 | $26,501.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,571.28 / $7,571.28 / $18,217.59
| Facility | | $7,571.28 | $7,571.28 | $18,217.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,154.53 / $13,434.81 / $22,009.92
| Facility | | $9,154.53 | $13,434.81 | $22,009.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,115.14 / $13,881.91 / $19,301.95
| Facility | | $8,115.14 | $13,881.91 | $19,301.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,370.90 / $28,370.90 / $33,295.66
| Facility | | $28,370.90 | $28,370.90 | $33,295.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $14,320.51 / $20,186.00
| Facility | | $2,520.00 | $14,320.51 | $20,186.00 |