- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,185.00 / $22,541.90 / $40,188.19
| Facility | | $2,185.00 | $22,541.90 | $40,188.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,049.46 / $18,114.09 / $31,708.22
| Facility | | $7,049.46 | $18,114.09 | $31,708.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,908.06 / $21,008.26 / $29,868.76
| Facility | | $18,908.06 | $21,008.26 | $29,868.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,474.63 / $25,920.50 / $55,871.15
| Facility | | $12,474.63 | $25,920.50 | $55,871.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,970.63 / $22,751.51 / $34,337.91
| Facility | | $12,970.63 | $22,751.51 | $34,337.91 |