- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,767.00 / $27,992.20 / $42,550.00
| Facility | | $5,767.00 | $27,992.20 | $42,550.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,954.16 / $19,954.16 / $19,954.16
| Facility | | $19,954.16 | $19,954.16 | $19,954.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,097.70 / $27,499.87 / $46,512.32
| Facility | | $10,097.70 | $27,499.87 | $46,512.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,176.08 / $28,246.17 / $50,383.19
| Facility | | $20,176.08 | $28,246.17 | $50,383.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,111.78 / $31,378.49 / $45,815.15
| Facility | | $24,111.78 | $31,378.49 | $45,815.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,111.78 / $29,170.49 / $45,815.15
| Facility | | $24,111.78 | $29,170.49 | $45,815.15 |