- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,526.20 / $30,122.00 / $39,328.60
| Facility | | $14,526.20 | $30,122.00 | $39,328.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,152.32 / $73,659.97
| Facility | | $5,840.42 | $27,152.32 | $73,659.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,019.96 / $28,142.87 / $42,524.21
| Facility | | $17,019.96 | $28,142.87 | $42,524.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,965.76 / $39,965.76 / $39,965.76
| Facility | | $39,965.76 | $39,965.76 | $39,965.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,522.43 / $28,351.40 / $43,781.23
| Facility | | $24,522.43 | $28,351.40 | $43,781.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $27,152.32 / $73,659.97
| Facility | | $5,840.42 | $27,152.32 | $73,659.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $21,392.44 / $57,565.92
| Facility | | $5,840.42 | $21,392.44 | $57,565.92 |