- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,957.00 / $26,232.10 / $42,237.00
| Facility | | $9,957.00 | $26,232.10 | $42,237.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,428.84 / $35,259.06
| Facility | | $1,474.01 | $14,428.84 | $35,259.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,988.66 / $27,427.33 / $38,854.12
| Facility | | $18,988.66 | $27,427.33 | $38,854.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,598.16 / $23,004.06 / $48,311.37
| Facility | | $16,598.16 | $23,004.06 | $48,311.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,583.96 / $23,004.06 / $48,935.16
| Facility | | $15,583.96 | $23,004.06 | $48,935.16 |