- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,605.11 / $13,801.00 / $23,580.70
| Facility | | $6,605.11 | $13,801.00 | $23,580.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $20,355.89 / $30,462.06
| Facility | | $1,613.00 | $20,355.89 | $30,462.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,646.00 / $18,923.79 / $30,257.15
| Facility | | $14,646.00 | $18,923.79 | $30,257.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,609.51 / $20,386.43 / $42,750.98
| Facility | | $10,609.51 | $20,386.43 | $42,750.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,966.70 / $20,251.80 / $30,264.62
| Facility | | $14,966.70 | $20,251.80 | $30,264.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,665.24 / $16,278.26 / $26,029.45
| Facility | | $4,665.24 | $16,278.26 | $26,029.45 |