- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,431.20 / $16,284.30 / $18,774.80
| Facility | | $13,431.20 | $16,284.30 | $18,774.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,555.38 / $17,555.38 / $33,931.49
| Facility | | $17,555.38 | $17,555.38 | $33,931.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,948.00 / $19,017.91 / $32,640.70
| Facility | | $11,948.00 | $19,017.91 | $32,640.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $28,269.38
| Facility | | $2,332.00 | $5,310.00 | $28,269.38 |