- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,299.00 / $22,032.60 / $43,247.40
| Facility | | $5,299.00 | $22,032.60 | $43,247.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,557.64 / $37,299.01 / $47,944.87
| Facility | | $24,557.64 | $37,299.01 | $47,944.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,726.55 / $29,266.79 / $46,794.51
| Facility | | $15,726.55 | $29,266.79 | $46,794.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,408.25 / $31,528.84 / $66,116.98
| Facility | | $16,408.25 | $31,528.84 | $66,116.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,200.34 / $12,424.89 / $13,848.21
| Facility | | $7,200.34 | $12,424.89 | $13,848.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.00 / $31,320.64 / $46,806.06
| Facility | | $17,647.00 | $31,320.64 | $46,806.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,149.32 / $40,256.12
| Facility | | $5,281.00 | $21,149.32 | $40,256.12 |