- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,228.31 / $14,997.80 / $20,118.30
| Facility | | $7,228.31 | $14,997.80 | $20,118.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,518.98 / $19,518.98 / $19,518.98
| Facility | | $19,518.98 | $19,518.98 | $19,518.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $17,392.45 / $20,680.43
| Facility | | $2,651.00 | $17,392.45 | $20,680.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,748.16 / $15,486.90 / $24,375.91
| Facility | | $12,748.16 | $15,486.90 | $24,375.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,713.00 / $19,133.66
| Facility | | $1,350.00 | $5,713.00 | $19,133.66 |