- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,880.00 / $23,104.10 / $38,358.19
| Facility | | $14,880.00 | $23,104.10 | $38,358.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,184.74 / $14,184.74 / $14,184.74
| Facility | | $14,184.74 | $14,184.74 | $14,184.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,599.80 / $20,819.14 / $35,187.42
| Facility | | $13,599.80 | $20,819.14 | $35,187.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,239.21 / $24,643.13 / $35,285.97
| Facility | | $18,239.21 | $24,643.13 | $35,285.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,906.59 / $25,996.02 / $56,441.00
| Facility | | $11,906.59 | $25,996.02 | $56,441.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $26,039.60 / $56,441.00
| Facility | | $9,226.00 | $26,039.60 | $56,441.00 |