- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $19,952.62 / $41,686.94
| Facility | | $9,120.11 | $19,952.62 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $35,481.34 / $48,977.88
| Facility | | $23,988.33 | $35,481.34 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $35,481.34
| Facility | | $15,488.17 | $25,703.96 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $26,915.35 / $66,069.34
| Facility | | $15,488.17 | $26,915.35 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $10,232.93 / $10,471.29
| Facility | | $10,000.00 | $10,232.93 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $18,197.01 / $35,481.34
| Facility | | $7,762.47 | $18,197.01 | $35,481.34 |