- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,280.82 / $18,934.09 / $30,486.30
| Facility | | $8,280.82 | $18,934.09 | $30,486.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,037.82 / $27,506.55
| Facility | | $1,474.01 | $10,037.82 | $27,506.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,620.00 / $18,751.49 / $28,044.58
| Facility | | $13,620.00 | $18,751.49 | $28,044.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,980.42 / $16,604.14 / $34,870.75
| Facility | | $11,980.42 | $16,604.14 | $34,870.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,248.37 / $16,604.14 / $35,320.99
| Facility | | $11,248.37 | $16,604.14 | $35,320.99 |