- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,802.17 / $11,884.40 / $13,702.00
| Facility | | $9,802.17 | $11,884.40 | $13,702.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,442.28 / $20,442.28 / $20,442.28
| Facility | | $20,442.28 | $20,442.28 | $20,442.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,719.71 / $13,879.39 / $23,821.37
| Facility | | $8,719.71 | $13,879.39 | $23,821.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $13,506.55 / $20,973.93
| Facility | | $3,137.00 | $13,506.55 | $20,973.93 |