- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,913.91 / $16,736.30 / $29,451.10
| Facility | | $9,913.91 | $16,736.30 | $29,451.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,950.29 / $8,937.00 / $14,564.74
| Facility | | $5,950.29 | $8,937.00 | $14,564.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,984.70 / $15,426.80 / $21,301.64
| Facility | | $8,984.70 | $15,426.80 | $21,301.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,401.55 / $32,401.55 / $38,025.97
| Facility | | $32,401.55 | $32,401.55 | $38,025.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,585.56 / $20,833.80
| Facility | | $1,787.00 | $14,585.56 | $20,833.80 |