- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,264.00 / $25,431.10 / $33,203.90
| Facility | | $12,264.00 | $25,431.10 | $33,203.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,923.87 / $62,188.87
| Facility | | $5,840.42 | $22,923.87 | $62,188.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,369.43 / $23,760.17 / $35,901.89
| Facility | | $14,369.43 | $23,760.17 | $35,901.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,741.87 / $33,741.87 / $33,741.87
| Facility | | $33,741.87 | $33,741.87 | $33,741.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,703.54 / $23,936.23 / $36,963.15
| Facility | | $20,703.54 | $23,936.23 | $36,963.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,923.87 / $62,188.87
| Facility | | $5,840.42 | $22,923.87 | $62,188.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,060.99 / $48,601.15
| Facility | | $5,840.42 | $18,060.99 | $48,601.15 |