- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,878.64 / $18,411.09 / $24,038.30
| Facility | | $8,878.64 | $18,411.09 | $24,038.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,813.13 / $45,022.27
| Facility | | $5,840.42 | $16,813.13 | $45,022.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,402.90 / $17,201.41 / $25,991.54
| Facility | | $10,402.90 | $17,201.41 | $25,991.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,427.78 / $24,427.78 / $24,427.78
| Facility | | $24,427.78 | $24,427.78 | $24,427.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,988.54 / $17,328.88 / $26,759.85
| Facility | | $14,988.54 | $17,328.88 | $26,759.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,813.13 / $45,022.27
| Facility | | $5,840.42 | $16,813.13 | $45,022.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $16,813.13 / $35,185.30
| Facility | | $5,840.42 | $16,813.13 | $35,185.30 |