- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.20 / $12,059.50 / $19,417.30
| Facility | | $5,274.20 | $12,059.50 | $19,417.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,633.31 / $11,633.31 / $11,633.31
| Facility | | $11,633.31 | $11,633.31 | $11,633.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,119.97 / $5,250.13 / $16,775.34
| Facility | | $1,119.97 | $5,250.13 | $16,775.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,729.51 / $12,551.00 / $17,862.09
| Facility | | $8,729.51 | $12,551.00 | $17,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,630.55 / $10,575.48 / $22,209.81
| Facility | | $7,630.55 | $10,575.48 | $22,209.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,164.29 / $10,575.48 / $22,496.58
| Facility | | $7,164.29 | $10,575.48 | $22,496.58 |