- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,119.34 / $18,564.90 / $29,891.80
| Facility | | $8,119.34 | $18,564.90 | $29,891.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,414.84 / $26,503.69
| Facility | | $1,474.01 | $8,414.84 | $26,503.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,200.00 / $18,385.82 / $27,497.69
| Facility | | $13,200.00 | $18,385.82 | $27,497.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,746.80 / $16,280.35 / $34,190.74
| Facility | | $11,746.80 | $16,280.35 | $34,190.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,029.02 / $16,280.35 / $34,632.21
| Facility | | $11,029.02 | $16,280.35 | $34,632.21 |