- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,894.30 / $13,208.50 / $15,228.60
| Facility | | $10,894.30 | $13,208.50 | $15,228.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,565.31 / $16,565.31 / $30,908.32
| Facility | | $16,565.31 | $16,565.31 | $30,908.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,691.21 / $15,425.75 / $26,475.41
| Facility | | $9,691.21 | $15,425.75 | $26,475.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $22,929.76
| Facility | | $2,332.00 | $5,310.00 | $22,929.76 |