- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,389.87 / $19,482.80 / $26,134.50
| Facility | | $9,389.87 | $19,482.80 | $26,134.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,026.97 / $20,026.97 / $20,026.97
| Facility | | $20,026.97 | $20,026.97 | $20,026.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $23,322.00 / $23,322.00
| Facility | | $3,897.00 | $23,322.00 | $23,322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,560.41 / $20,118.15 / $31,665.35
| Facility | | $16,560.41 | $20,118.15 | $31,665.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $24,855.44 / $32,109.00
| Facility | | $1,350.00 | $24,855.44 | $32,109.00 |