- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,700.39 / $18,052.20 / $24,215.50
| Facility | | $8,700.39 | $18,052.20 | $24,215.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,276.33 / $38,276.33 / $38,276.33
| Facility | | $38,276.33 | $38,276.33 | $38,276.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $31,140.78 / $37,027.83
| Facility | | $2,651.00 | $31,140.78 | $37,027.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,344.40 / $18,640.90 / $29,340.21
| Facility | | $15,344.40 | $18,640.90 | $29,340.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,713.00 / $23,030.34
| Facility | | $1,350.00 | $5,713.00 | $23,030.34 |