- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,376.21 / $14,140.40 / $24,883.10
| Facility | | $8,376.21 | $14,140.40 | $24,883.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,891.48 / $12,891.48 / $13,578.98
| Facility | | $12,891.48 | $12,891.48 | $13,578.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,421.59 / $9,478.90 / $15,566.34
| Facility | | $6,421.59 | $9,478.90 | $15,566.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,619.48 / $13,034.04 / $18,136.62
| Facility | | $7,619.48 | $13,034.04 | $18,136.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,921.35 / $26,921.35 / $31,594.49
| Facility | | $26,921.35 | $26,921.35 | $31,594.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $12,323.28 / $17,602.39
| Facility | | $1,787.00 | $12,323.28 | $17,602.39 |