- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $21,428.50 / $34,515.10
| Facility | | $3,182.00 | $21,428.50 | $34,515.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,880.62 / $24,880.62 / $24,880.62
| Facility | | $24,880.62 | $24,880.62 | $24,880.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,184.81 / $29,442.70
| Facility | | $1,474.01 | $12,184.81 | $29,442.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,511.48 / $22,404.88 / $31,739.20
| Facility | | $15,511.48 | $22,404.88 | $31,739.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,558.74 / $18,791.59 / $44,424.00
| Facility | | $13,558.74 | $18,791.59 | $44,424.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,558.74 / $18,791.59 / $40,649.49
| Facility | | $13,558.74 | $18,791.59 | $40,649.49 |