- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,464.51 / $19,167.59 / $44,508.00
| Facility | | $9,464.51 | $19,167.59 | $44,508.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,883.11 / $21,883.11 / $21,883.11
| Facility | | $21,883.11 | $21,883.11 | $21,883.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,838.00 / $16,160.01 / $26,789.17
| Facility | | $9,838.00 | $16,160.01 | $26,789.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,008.12 / $20,277.59 / $29,156.69
| Facility | | $15,008.12 | $20,277.59 | $29,156.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.00 / $20,440.58 / $48,537.00
| Facility | | $8,787.00 | $20,440.58 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,611.00 / $19,478.93 / $27,317.12
| Facility | | $7,611.00 | $19,478.93 | $27,317.12 |