- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,120.00 / $5,867.00 / $43,433.80
| Facility | | $2,120.00 | $5,867.00 | $43,433.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,439.54 / $17,439.54 / $17,439.54
| Facility | | $17,439.54 | $17,439.54 | $17,439.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,094.44 / $32,941.00 / $54,596.35
| Facility | | $15,094.44 | $32,941.00 | $54,596.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,337.00 / $48,422.37 / $75,155.70
| Facility | | $10,337.00 | $48,422.37 | $75,155.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,301.60 / $64,889.08 / $83,782.66
| Facility | | $35,301.60 | $64,889.08 | $83,782.66 |