- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $17,967.09 / $29,897.00
| Facility | | $3,406.00 | $17,967.09 | $29,897.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,348.49 / $16,348.49 / $16,348.49
| Facility | | $16,348.49 | $16,348.49 | $16,348.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,130.65 / $23,520.81
| Facility | | $1,474.01 | $9,130.65 | $23,520.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,111.87 / $17,793.84 / $26,612.33
| Facility | | $12,111.87 | $17,793.84 | $26,612.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,673.92 / $16,018.00 / $33,089.89
| Facility | | $10,673.92 | $16,018.00 | $33,089.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,673.92 / $16,018.00 / $28,406.51
| Facility | | $10,673.92 | $16,018.00 | $28,406.51 |