- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $22,968.00 / $36,687.00
| Facility | | $3,182.00 | $22,968.00 | $36,687.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,340.34 / $31,674.11
| Facility | | $1,474.01 | $13,340.34 | $31,674.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,604.40 / $24,085.23 / $36,021.69
| Facility | | $17,604.40 | $24,085.23 | $36,021.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,388.18 / $20,738.66 / $44,789.52
| Facility | | $15,388.18 | $20,738.66 | $44,789.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,453.83 / $23,924.21 / $38,450.23
| Facility | | $16,453.83 | $23,924.21 | $38,450.23 |