- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,050.30 / $13,590.20 / $23,914.90
| Facility | | $8,050.30 | $13,590.20 | $23,914.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,087.98 / $14,404.92 / $17,615.00
| Facility | | $13,087.98 | $14,404.92 | $17,615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,950.87 / $13,104.47 / $21,520.29
| Facility | | $8,950.87 | $13,104.47 | $21,520.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,323.01 / $12,526.88 / $17,430.91
| Facility | | $7,323.01 | $12,526.88 | $17,430.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,500.95 / $25,500.95 / $29,927.53
| Facility | | $25,500.95 | $25,500.95 | $29,927.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $11,843.77 / $16,917.47
| Facility | | $1,787.00 | $11,843.77 | $16,917.47 |