- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,909.30 / $22,926.10 / $26,432.40
| Facility | | $18,909.30 | $22,926.10 | $26,432.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,491.81 / $45,491.81 / $45,491.81
| Facility | | $45,491.81 | $45,491.81 | $45,491.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,702.00 / $6,578.00
| Facility | | $1,252.00 | $3,702.00 | $6,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,821.16 / $26,774.65 / $45,953.67
| Facility | | $16,821.16 | $26,774.65 | $45,953.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $26,106.56 / $40,460.69
| Facility | | $3,137.00 | $26,106.56 | $40,460.69 |