- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,118.40 / $20,982.00 / $27,395.00
| Facility | | $10,118.40 | $20,982.00 | $27,395.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,160.87 / $51,309.06
| Facility | | $5,840.42 | $19,160.87 | $51,309.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,855.53 / $19,603.38 / $29,620.94
| Facility | | $11,855.53 | $19,603.38 | $29,620.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,838.81 / $27,838.81 / $27,838.81
| Facility | | $27,838.81 | $27,838.81 | $27,838.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,081.50 / $19,748.64 / $30,496.53
| Facility | | $17,081.50 | $19,748.64 | $30,496.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,160.87 / $51,309.06
| Facility | | $5,840.42 | $19,160.87 | $51,309.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $19,431.22 / $44,656.69
| Facility | | $5,840.42 | $19,431.22 | $44,656.69 |