- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,431.90 / $13,235.50 / $22,119.00
| Facility | | $9,431.90 | $13,235.50 | $22,119.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,580.21 / $20,580.21 / $20,580.21
| Facility | | $20,580.21 | $20,580.21 | $20,580.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,677.10 / $11,917.65 / $17,755.61
| Facility | | $7,677.10 | $11,917.65 | $17,755.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,228.11 / $11,359.40 / $20,560.00
| Facility | | $8,228.11 | $11,359.40 | $20,560.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.46 / $120.47 / $192.00
| Facility | | $87.46 | $120.47 | $192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,062.85 / $12,542.63 / $20,642.24
| Facility | | $9,062.85 | $12,542.63 | $20,642.24 |