- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,002.02 / $18,667.00 / $24,372.30
| Facility | | $9,002.02 | $18,667.00 | $24,372.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,826.59 / $45,647.90
| Facility | | $5,840.42 | $16,826.59 | $45,647.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,547.45 / $17,440.45 / $26,352.72
| Facility | | $10,547.45 | $17,440.45 | $26,352.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,767.23 / $24,767.23 / $24,767.23
| Facility | | $24,767.23 | $24,767.23 | $24,767.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,196.82 / $17,569.68 / $27,131.71
| Facility | | $15,196.82 | $17,569.68 | $27,131.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,826.59 / $45,647.90
| Facility | | $5,840.42 | $16,826.59 | $45,647.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,257.13 / $35,674.24
| Facility | | $5,840.42 | $13,257.13 | $35,674.24 |