- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,532.50 / $14,404.30 / $25,347.30
| Facility | | $8,532.50 | $14,404.30 | $25,347.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,279.21 / $7,884.00 / $14,926.56
| Facility | | $7,279.21 | $7,884.00 | $14,926.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,157.44 / $11,971.53 / $19,804.18
| Facility | | $8,157.44 | $11,971.53 | $19,804.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,761.64 / $13,277.22 / $18,475.00
| Facility | | $7,761.64 | $13,277.22 | $18,475.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,276.45 / $27,276.45 / $32,011.23
| Facility | | $27,276.45 | $27,276.45 | $32,011.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $12,553.20 / $17,930.80
| Facility | | $1,787.00 | $12,553.20 | $17,930.80 |