- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,414.00 / $19,268.70 / $33,907.40
| Facility | | $11,414.00 | $19,268.70 | $33,907.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,298.36 / $13,725.30 / $22,503.56
| Facility | | $9,298.36 | $13,725.30 | $22,503.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,382.81 / $17,761.04 / $24,524.81
| Facility | | $10,382.81 | $17,761.04 | $24,524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,916.40 / $34,916.40 / $40,977.36
| Facility | | $34,916.40 | $34,916.40 | $40,977.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $16,792.50 / $23,986.18
| Facility | | $1,787.00 | $16,792.50 | $23,986.18 |