- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,440.07 / $24,881.60 / $55,335.00
| Facility | | $17,440.07 | $24,881.60 | $55,335.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,323.65 / $26,323.65 / $26,323.65
| Facility | | $26,323.65 | $26,323.65 | $26,323.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,649.15 / $22,009.49 / $39,173.31
| Facility | | $12,649.15 | $22,009.49 | $39,173.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,425.07 / $27,703.00 / $48,324.00
| Facility | | $21,425.07 | $27,703.00 | $48,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,240.00 / $26,288.02 / $42,666.88
| Facility | | $9,240.00 | $26,288.02 | $42,666.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $25,467.58 / $40,802.00
| Facility | | $9,226.00 | $25,467.58 | $40,802.00 |