- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.00 / $16,241.00 / $25,642.00
| Facility | | $4,804.00 | $16,241.00 | $25,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,180.40 / $12,148.61 / $21,063.49
| Facility | | $10,180.40 | $12,148.61 | $21,063.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $687.00 / $2,767.00 / $16,512.59
| Facility | | $687.00 | $2,767.00 | $16,512.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,891.46 / $16,966.50 / $31,057.74
| Facility | | $9,891.46 | $16,966.50 | $31,057.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,426.30 / $35,071.47 / $35,071.47
| Facility | | $21,426.30 | $35,071.47 | $35,071.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,694.45 / $25,694.45 / $25,694.45
| Facility | | $25,694.45 | $25,694.45 | $25,694.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,987.61 / $14,331.04 / $34,002.00
| Facility | | $9,987.61 | $14,331.04 | $34,002.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,432.00 / $12,668.32 / $28,845.31
| Facility | | $4,432.00 | $12,668.32 | $28,845.31 |