- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,061.48 / $18,432.59 / $29,678.80
| Facility | | $8,061.48 | $18,432.59 | $29,678.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,337.19 / $28,337.19 / $28,337.19
| Facility | | $28,337.19 | $28,337.19 | $28,337.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,830.89 / $26,756.30
| Facility | | $1,474.01 | $11,830.89 | $26,756.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,342.82 / $19,272.45 / $27,301.74
| Facility | | $13,342.82 | $19,272.45 | $27,301.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,663.09 / $15,996.00 / $45,154.00
| Facility | | $11,663.09 | $15,996.00 | $45,154.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,663.09 / $15,996.00 / $34,385.41
| Facility | | $11,663.09 | $15,996.00 | $34,385.41 |