- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,143.06 / $13,746.80 / $24,190.50
| Facility | | $8,143.06 | $13,746.80 | $24,190.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,239.79 / $7,499.89 / $27,732.93
| Facility | | $7,239.79 | $7,499.89 | $27,732.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,809.01 / $14,716.89 / $24,009.88
| Facility | | $9,809.01 | $14,716.89 | $24,009.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,407.39 / $12,671.22 / $17,631.77
| Facility | | $7,407.39 | $12,671.22 | $17,631.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,022.05 / $27,022.05 / $31,712.67
| Facility | | $27,022.05 | $27,022.05 | $31,712.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $11,980.25 / $17,112.41
| Facility | | $1,787.00 | $11,980.25 | $17,112.41 |