- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,250.61 / $13,209.10 / $21,856.30
| Facility | | $6,250.61 | $13,209.10 | $21,856.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,545.73 / $24,552.72 / $31,837.33
| Facility | | $16,545.73 | $24,552.72 | $31,837.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,872.28 / $17,648.00 / $28,044.63
| Facility | | $13,872.28 | $17,648.00 | $28,044.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,833.70 / $18,895.68 / $39,624.87
| Facility | | $9,833.70 | $18,895.68 | $39,624.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,872.28 / $18,770.91 / $28,051.55
| Facility | | $13,872.28 | $18,770.91 | $28,051.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,870.00 / $15,806.00 / $24,126.08
| Facility | | $4,870.00 | $15,806.00 | $24,126.08 |