- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,011.00 / $30,202.90 / $41,782.19
| Facility | | $9,011.00 | $30,202.90 | $41,782.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,905.84
| Facility | | $1,146.00 | $3,000.00 | $14,905.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,367.97 / $16,219.80 / $29,134.37
| Facility | | $11,367.97 | $16,219.80 | $29,134.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,171.35 / $15,707.07 / $29,134.37
| Facility | | $9,171.35 | $15,707.07 | $29,134.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.00 / $12,291.00 / $31,170.85
| Facility | | $2,024.00 | $12,291.00 | $31,170.85 |