- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,638.00 / $17,025.40 / $27,413.10
| Facility | | $1,638.00 | $17,025.40 | $27,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $2,555.21 / $16,609.68
| Facility | | $1,474.01 | $2,555.21 | $16,609.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,166.15 / $16,166.15 / $16,279.40
| Facility | | $16,166.15 | $16,166.15 | $16,279.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,772.72 / $14,930.33 / $31,355.54
| Facility | | $10,772.72 | $14,930.33 | $31,355.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,114.45 / $14,930.33 / $31,760.40
| Facility | | $10,114.45 | $14,930.33 | $31,760.40 |