- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $14,770.10 / $25,950.30
| Facility | | $4,804.00 | $14,770.10 | $25,950.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,412.12 / $16,385.25 / $22,213.98
| Facility | | $9,412.12 | $16,385.25 | $22,213.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $910.00 / $2,308.00 / $17,567.24
| Facility | | $910.00 | $2,308.00 | $17,567.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,828.39 / $16,140.00 / $30,174.29
| Facility | | $9,828.39 | $16,140.00 | $30,174.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,107.70 / $14,308.75 / $33,002.85
| Facility | | $10,107.70 | $14,308.75 | $33,002.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,464.33 / $12,820.64 / $29,311.19
| Facility | | $4,464.33 | $12,820.64 | $29,311.19 |