- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,262.00 / $15,039.40 / $31,470.10
| Facility | | $5,262.00 | $15,039.40 | $31,470.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,434.61 / $24,510.97 / $34,119.69
| Facility | | $10,434.61 | $24,510.97 | $34,119.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,331.29 / $19,963.02 / $29,615.41
| Facility | | $10,331.29 | $19,963.02 | $29,615.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $820.00 / $16,972.84 / $30,961.43
| Facility | | $820.00 | $16,972.84 | $30,961.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $820.00 / $15,054.18 / $31,917.81
| Facility | | $820.00 | $15,054.18 | $31,917.81 |