- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.55 / $15,562.70 / $20,876.00
| Facility | | $7,500.55 | $15,562.70 | $20,876.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,436.33 / $15,506.03 / $28,939.84
| Facility | | $15,436.33 | $15,506.03 | $28,939.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $15,935.34 / $18,947.86
| Facility | | $3,897.00 | $15,935.34 | $18,947.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,228.31 / $16,070.20 / $25,294.00
| Facility | | $13,228.31 | $16,070.20 | $25,294.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $19,854.31 / $25,074.59
| Facility | | $1,350.00 | $19,854.31 | $25,074.59 |