- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,962.90 / $14,504.10 / $16,722.40
| Facility | | $11,962.90 | $14,504.10 | $16,722.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,581.34 / $11,581.34 / $28,888.81
| Facility | | $11,581.34 | $11,581.34 | $28,888.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,641.84 / $16,938.87 / $29,072.41
| Facility | | $10,641.84 | $16,938.87 | $29,072.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $16,483.84 / $25,597.29
| Facility | | $3,137.00 | $16,483.84 | $25,597.29 |