- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,893.69 / $18,442.30 / $24,079.00
| Facility | | $8,893.69 | $18,442.30 | $24,079.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,624.09 / $45,098.57
| Facility | | $5,840.42 | $16,624.09 | $45,098.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,420.53 / $17,230.57 / $26,035.59
| Facility | | $10,420.53 | $17,230.57 | $26,035.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,469.18 / $24,469.18 / $24,469.18
| Facility | | $24,469.18 | $24,469.18 | $24,469.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,013.94 / $17,358.24 / $26,805.20
| Facility | | $15,013.94 | $17,358.24 | $26,805.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,624.09 / $45,098.57
| Facility | | $5,840.42 | $16,624.09 | $45,098.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,097.59 / $35,244.93
| Facility | | $5,840.42 | $13,097.59 | $35,244.93 |