- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,081.12 / $24,735.80 / $41,067.40
| Facility | | $16,081.12 | $24,735.80 | $41,067.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,820.00 / $44,820.00 / $44,820.00
| Facility | | $44,820.00 | $44,820.00 | $44,820.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,710.52 / $22,037.22 / $37,331.51
| Facility | | $14,710.52 | $22,037.22 | $37,331.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,199.00 / $26,383.63 / $37,936.44
| Facility | | $21,199.00 | $26,383.63 | $37,936.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,747.53 / $26,487.54 / $65,779.61
| Facility | | $12,747.53 | $26,487.54 | $65,779.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,254.38 / $23,249.23 / $35,089.10
| Facility | | $13,254.38 | $23,249.23 | $35,089.10 |