- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,557.04 / $17,279.20 / $27,821.70
| Facility | | $7,557.04 | $17,279.20 | $27,821.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,892.85 / $13,249.42 / $21,173.01
| Facility | | $10,892.85 | $13,249.42 | $21,173.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,790.12 / $24,593.00
| Facility | | $1,474.01 | $8,790.12 | $24,593.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,507.91 / $18,066.50 / $25,593.37
| Facility | | $12,507.91 | $18,066.50 | $25,593.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,933.29 / $15,152.87 / $31,822.91
| Facility | | $10,933.29 | $15,152.87 | $31,822.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,690.43 / $18,414.18 / $27,318.85
| Facility | | $11,690.43 | $18,414.18 | $27,318.85 |