- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,495.41 / $19,701.80 / $26,428.30
| Facility | | $9,495.41 | $19,701.80 | $26,428.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,155.91 / $16,721.99 / $38,073.16
| Facility | | $16,155.91 | $16,721.99 | $38,073.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $16,783.82 / $19,956.75
| Facility | | $3,897.00 | $16,783.82 | $19,956.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,746.53 / $20,344.25 / $32,021.23
| Facility | | $16,746.53 | $20,344.25 | $32,021.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $25,134.79 / $31,743.45
| Facility | | $1,350.00 | $25,134.79 | $31,743.45 |