- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,847.56 / $14,936.10 / $26,283.30
| Facility | | $8,847.56 | $14,936.10 | $26,283.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,897.81 / $9,767.01 / $15,917.41
| Facility | | $6,897.81 | $9,767.01 | $15,917.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,048.24 / $13,767.47 / $19,157.18
| Facility | | $8,048.24 | $13,767.47 | $19,157.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,173.85 / $29,173.85 / $34,237.99
| Facility | | $29,173.85 | $29,173.85 | $34,237.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $13,016.72 / $18,592.89
| Facility | | $1,787.00 | $13,016.72 | $18,592.89 |