- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,009.30 / $23,646.40 / $41,610.90
| Facility | | $12,009.30 | $23,646.40 | $41,610.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,760.00 / $8,760.00 / $24,533.98
| Facility | | $8,760.00 | $8,760.00 | $24,533.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,092.65 / $20,191.97 / $33,848.73
| Facility | | $14,092.65 | $20,191.97 | $33,848.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,741.71 / $21,434.86 / $29,851.51
| Facility | | $12,741.71 | $21,434.86 | $29,851.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,219.60 / $45,219.60 / $53,069.04
| Facility | | $45,219.60 | $45,219.60 | $53,069.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $21,730.64 / $29,435.67
| Facility | | $1,787.00 | $21,730.64 | $29,435.67 |