- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,598.00 / $19,659.30 / $31,654.00
| Facility | | $8,598.00 | $19,659.30 | $31,654.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,813.52 / $26,126.69
| Facility | | $1,474.01 | $11,813.52 | $26,126.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,230.83 / $20,555.09 / $29,118.76
| Facility | | $14,230.83 | $20,555.09 | $29,118.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,439.31 / $17,240.13 / $36,206.39
| Facility | | $12,439.31 | $17,240.13 | $36,206.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,985.16 / $16,764.46 / $31,081.92
| Facility | | $10,985.16 | $16,764.46 | $31,081.92 |