- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $22,737.00 / $36,622.80
| Facility | | $3,182.00 | $22,737.00 | $36,622.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,382.54 / $31,932.04
| Facility | | $1,474.01 | $10,382.54 | $31,932.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,458.68 / $23,175.05 / $33,677.37
| Facility | | $16,458.68 | $23,175.05 | $33,677.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,386.71 / $24,326.95 / $41,874.58
| Facility | | $14,386.71 | $24,326.95 | $41,874.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,386.71 / $24,326.95 / $35,947.86
| Facility | | $14,386.71 | $24,326.95 | $35,947.86 |