- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,182.57 / $35,481.34
| Facility | | $8,317.64 | $13,182.57 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,548.13 / $10,000.00 / $20,892.96
| Facility | | $3,548.13 | $10,000.00 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $12,022.64 / $19,054.61
| Facility | | $8,317.64 | $12,022.64 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $17,782.79 / $23,442.29
| Facility | | $11,220.18 | $17,782.79 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $18,197.01 / $28,183.83
| Facility | | $2,951.21 | $18,197.01 | $28,183.83 |