- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,217.41 / $11,077.00 / $18,626.50
| Facility | | $5,217.41 | $11,077.00 | $18,626.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,212.00 / $18,412.45 / $26,593.17
| Facility | | $1,212.00 | $18,412.45 | $26,593.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,822.27 / $16,670.40 / $23,900.27
| Facility | | $11,822.27 | $16,670.40 | $23,900.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,380.50 / $16,103.34 / $33,769.21
| Facility | | $8,380.50 | $16,103.34 | $33,769.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,822.27 / $17,648.00 / $23,906.17
| Facility | | $11,822.27 | $17,648.00 | $23,906.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,733.50 / $14,238.00 / $21,051.90
| Facility | | $4,733.50 | $14,238.00 | $21,051.90 |