- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,070.34 / $20,739.40 / $33,393.00
| Facility | | $9,070.34 | $20,739.40 | $33,393.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,807.54 / $25,609.72
| Facility | | $1,474.01 | $7,807.54 | $25,609.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,012.63 / $21,684.33 / $30,718.46
| Facility | | $15,012.63 | $21,684.33 | $30,718.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,122.68 / $18,187.25 / $38,195.46
| Facility | | $13,122.68 | $18,187.25 | $38,195.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,320.84 / $18,187.25 / $38,688.64
| Facility | | $12,320.84 | $18,187.25 | $38,688.64 |