- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,024.39 / $13,546.50 / $23,837.90
| Facility | | $8,024.39 | $13,546.50 | $23,837.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,529.91 / $12,775.01 / $15,487.02
| Facility | | $4,529.91 | $12,775.01 | $15,487.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,476.17 / $6,359.27 / $10,514.71
| Facility | | $4,476.17 | $6,359.27 | $10,514.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,278.91 / $14,033.69 / $18,070.00
| Facility | | $8,278.91 | $14,033.69 | $18,070.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,402.90 / $25,402.90 / $29,812.46
| Facility | | $25,402.90 | $25,402.90 | $29,812.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $11,805.66 / $16,863.03
| Facility | | $1,787.00 | $11,805.66 | $16,863.03 |