- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,957.00 / $25,629.50 / $41,266.80
| Facility | | $9,957.00 | $25,629.50 | $41,266.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,732.28 / $26,732.28 / $26,732.28
| Facility | | $26,732.28 | $26,732.28 | $26,732.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,153.20 / $36,547.57
| Facility | | $1,474.01 | $14,153.20 | $36,547.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,552.49 / $26,797.33 / $37,961.62
| Facility | | $18,552.49 | $26,797.33 | $37,961.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,226.00 / $22,475.66 / $47,201.65
| Facility | | $15,226.00 | $22,475.66 | $47,201.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,226.00 / $27,421.71 / $40,802.00
| Facility | | $15,226.00 | $27,421.71 | $40,802.00 |