- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $17,378.01 / $28,840.32
| Facility | | $8,317.64 | $17,378.01 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $12,882.50 / $38,018.94
| Facility | | $3,981.07 | $12,882.50 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $16,595.87 / $25,118.86
| Facility | | $9,772.37 | $16,595.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $10,000.00 / $24,547.09
| Facility | | $8,912.51 | $10,000.00 | $24,547.09 |
- 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 / $38,018.94
| Facility | | $3,981.07 | $12,882.50 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $10,471.29 / $19,054.61
| Facility | | $5,370.32 | $10,471.29 | $19,054.61 |