- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,134.44 / $17,811.50 / $30,073.00
| Facility | | $8,134.44 | $17,811.50 | $30,073.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $24,711.02 / $37,214.37
| Facility | | $1,613.00 | $24,711.02 | $37,214.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,756.18 / $25,390.64 / $37,272.04
| Facility | | $17,756.18 | $25,390.64 | $37,272.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,066.02 / $25,106.67 / $52,649.47
| Facility | | $13,066.02 | $25,106.67 | $52,649.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,756.18 / $27,644.32 / $37,477.51
| Facility | | $17,756.18 | $27,644.32 | $37,477.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $23,415.00 / $35,520.83
| Facility | | $5,281.00 | $23,415.00 | $35,520.83 |