- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,226.00 / $12,398.20 / $14,294.40
| Facility | | $10,226.00 | $12,398.20 | $14,294.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,930.18 / $14,845.91 / $24,174.24
| Facility | | $8,930.18 | $14,845.91 | $24,174.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,702.00 / $6,578.00
| Facility | | $1,252.00 | $3,702.00 | $6,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,096.71 / $14,479.47 / $24,851.30
| Facility | | $9,096.71 | $14,479.47 | $24,851.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $21,523.15
| Facility | | $2,332.00 | $5,310.00 | $21,523.15 |