- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,358.67 / $14,110.80 / $24,831.00
| Facility | | $8,358.67 | $14,110.80 | $24,831.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,124.00 / $9,124.00 / $18,878.16
| Facility | | $9,124.00 | $9,124.00 | $18,878.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,442.73 / $9,432.43 / $15,596.00
| Facility | | $6,442.73 | $9,432.43 | $15,596.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,603.52 / $13,006.73 / $18,098.62
| Facility | | $7,603.52 | $13,006.73 | $18,098.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,966.40 / $26,966.40 / $31,647.36
| Facility | | $26,966.40 | $26,966.40 | $31,647.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $12,297.46 / $17,565.50
| Facility | | $1,787.00 | $12,297.46 | $17,565.50 |