- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,156.04 / $11,101.00 / $12,798.80
| Facility | | $9,156.04 | $11,101.00 | $12,798.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,836.23 / $14,175.44 / $25,278.58
| Facility | | $13,836.23 | $14,175.44 | $25,278.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $2,554.00 / $3,843.00
| Facility | | $1,252.00 | $2,554.00 | $3,843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,144.94 / $12,964.50 / $22,251.13
| Facility | | $8,144.94 | $12,964.50 | $22,251.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $19,271.21
| Facility | | $2,332.00 | $5,310.00 | $19,271.21 |