- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,752.00 / $28,516.80 / $37,232.69
| Facility | | $13,752.00 | $28,516.80 | $37,232.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,705.34 / $69,734.53
| Facility | | $5,840.42 | $25,705.34 | $69,734.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,112.94 / $26,643.10 / $40,258.04
| Facility | | $16,112.94 | $26,643.10 | $40,258.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,835.94 / $37,835.94 / $37,835.94
| Facility | | $37,835.94 | $37,835.94 | $37,835.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,215.60 / $26,840.52 / $41,448.07
| Facility | | $23,215.60 | $26,840.52 | $41,448.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,705.34 / $69,734.53
| Facility | | $5,840.42 | $25,705.34 | $69,734.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,705.34 / $60,693.26
| Facility | | $3,775.00 | $25,705.34 | $60,693.26 |