- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $16,595.87 / $27,542.29
| Facility | | $7,943.28 | $16,595.87 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $12,882.50 / $35,481.34
| Facility | | $3,981.07 | $12,882.50 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $15,848.93 / $23,442.29
| Facility | | $9,332.54 | $15,848.93 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $10,000.00 / $23,988.33
| Facility | | $8,912.51 | $10,000.00 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $9,772.37 / $21,877.62
| Facility | | $3,981.07 | $9,772.37 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $12,882.50 / $35,481.34
| Facility | | $3,981.07 | $12,882.50 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $10,232.93 / $19,054.61
| Facility | | $5,370.32 | $10,232.93 | $19,054.61 |