- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,089.28 / $20,782.70 / $33,462.69
| Facility | | $9,089.28 | $20,782.70 | $33,462.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,857.00 / $25,857.00 / $34,434.76
| Facility | | $25,857.00 | $25,857.00 | $34,434.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,039.05 / $29,637.85
| Facility | | $1,474.01 | $11,039.05 | $29,637.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,043.97 / $21,729.60 / $30,782.59
| Facility | | $15,043.97 | $21,729.60 | $30,782.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,150.08 / $18,225.22 / $38,275.19
| Facility | | $13,150.08 | $18,225.22 | $38,275.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,346.56 / $18,225.22 / $38,769.41
| Facility | | $12,346.56 | $18,225.22 | $38,769.41 |