- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,947.00 / $15,770.30 / $26,585.40
| Facility | | $1,947.00 | $15,770.30 | $26,585.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,788.00 / $16,974.72 / $23,059.98
| Facility | | $9,788.00 | $16,974.72 | $23,059.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,577.87 / $18,373.59 / $29,176.40
| Facility | | $11,577.87 | $18,373.59 | $29,176.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,040.49 / $17,970.78 / $33,529.60
| Facility | | $10,040.49 | $17,970.78 | $33,529.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,021.00 / $15,008.68 / $27,000.00
| Facility | | $8,021.00 | $15,008.68 | $27,000.00 |