- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,191.40 / $17,204.70 / $30,275.30
| Facility | | $10,191.40 | $17,204.70 | $30,275.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,681.38 / $11,272.87 / $18,648.43
| Facility | | $7,681.38 | $11,272.87 | $18,648.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,270.64 / $15,858.54 / $21,897.79
| Facility | | $9,270.64 | $15,858.54 | $21,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,010.82 / $33,673.55 / $39,518.76
| Facility | | $16,010.82 | $33,673.55 | $39,518.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,993.75 / $21,416.86
| Facility | | $1,787.00 | $14,993.75 | $21,416.86 |