- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,017.10 / $25,190.60 / $40,560.00
| Facility | | $11,017.10 | $25,190.60 | $40,560.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,539.36 / $22,539.36 / $25,997.62
| Facility | | $22,539.36 | $22,539.36 | $25,997.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $15,419.82 / $35,208.73
| Facility | | $1,474.01 | $15,419.82 | $35,208.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,161.00 / $24,947.59 / $37,311.42
| Facility | | $18,161.00 | $24,947.59 | $37,311.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,965.20 / $26,952.03 / $46,393.18
| Facility | | $14,965.20 | $26,952.03 | $46,393.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,965.20 / $26,952.03 / $39,826.92
| Facility | | $14,965.20 | $26,952.03 | $39,826.92 |