- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $32,407.20 / $43,879.00
| Facility | | $3,821.00 | $32,407.20 | $43,879.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,985.35 / $24,985.35 / $24,985.35
| Facility | | $24,985.35 | $24,985.35 | $24,985.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,173.68 / $24,983.39 / $42,256.04
| Facility | | $9,173.68 | $24,983.39 | $42,256.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,544.25 / $32,551.25 / $54,483.45
| Facility | | $22,544.25 | $32,551.25 | $54,483.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,914.79 / $36,327.62 / $53,041.30
| Facility | | $27,914.79 | $36,327.62 | $53,041.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,914.79 / $33,771.37 / $53,041.30
| Facility | | $27,914.79 | $33,771.37 | $53,041.30 |