- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,561.00 / $13,933.30 / $30,961.10
| Facility | | $1,561.00 | $13,933.30 | $30,961.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.00 / $7,678.49 / $15,897.40
| Facility | | $7,244.00 | $7,678.49 | $15,897.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,421.45 / $15,570.55 / $17,801.16
| Facility | | $12,421.45 | $15,570.55 | $17,801.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,435.14 / $16,701.18 / $21,720.62
| Facility | | $9,435.14 | $16,701.18 | $21,720.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,551.71 / $6,773.51 / $18,282.00
| Facility | | $6,551.71 | $6,773.51 | $18,282.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $5,753.00 / $18,693.78
| Facility | | $1,518.00 | $5,753.00 | $18,693.78 |