- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,838.28 / $12,007.50 / $18,176.00
| Facility | | $8,838.28 | $12,007.50 | $18,176.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,171.91 / $42,171.91 / $42,171.91
| Facility | | $42,171.91 | $42,171.91 | $42,171.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,191.68 / $11,164.10 / $16,759.28
| Facility | | $7,191.68 | $11,164.10 | $16,759.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,710.25 / $10,644.47 / $19,266.00
| Facility | | $7,710.25 | $10,644.47 | $19,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.96 / $119.05 / $184.00
| Facility | | $81.96 | $119.05 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,492.45 / $11,753.22 / $19,343.06
| Facility | | $8,492.45 | $11,753.22 | $19,343.06 |