- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,022.00 / $18,814.09 / $30,580.80
| Facility | | $11,022.00 | $18,814.09 | $30,580.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,111.34 / $19,111.34 / $19,111.34
| Facility | | $19,111.34 | $19,111.34 | $19,111.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,451.27 / $14,948.71 / $23,583.04
| Facility | | $9,451.27 | $14,948.71 | $23,583.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,873.73 / $23,209.32 / $52,343.85
| Facility | | $9,873.73 | $23,209.32 | $52,343.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,164.00 / $15,461.43 / $21,602.51
| Facility | | $6,164.00 | $15,461.43 | $21,602.51 |