- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,753.00 / $25,078.70 / $40,379.90
| Facility | | $9,753.00 | $25,078.70 | $40,379.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,282.82 / $23,343.94 / $35,680.33
| Facility | | $23,282.82 | $23,343.94 | $35,680.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,311.61 / $35,524.35
| Facility | | $1,474.01 | $13,311.61 | $35,524.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,905.86 / $24,836.82 / $37,145.75
| Facility | | $16,905.86 | $24,836.82 | $37,145.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,868.37 / $21,992.60 / $46,187.18
| Facility | | $15,868.37 | $21,992.60 | $46,187.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,898.75 / $21,992.60 / $46,783.55
| Facility | | $14,898.75 | $21,992.60 | $46,783.55 |