- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,947.00 / $17,721.00 / $39,266.30
| Facility | | $1,947.00 | $17,721.00 | $39,266.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,015.00 / $28,669.44 / $34,445.93
| Facility | | $10,015.00 | $28,669.44 | $34,445.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,859.06 / $26,886.85 / $43,093.19
| Facility | | $16,859.06 | $26,886.85 | $43,093.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,937.62 / $22,760.11 / $43,461.03
| Facility | | $11,937.62 | $22,760.11 | $43,461.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,933.00 / $14,912.00 / $36,782.19
| Facility | | $8,933.00 | $14,912.00 | $36,782.19 |