- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,143.65 / $16,887.00 / $22,048.40
| Facility | | $8,143.65 | $16,887.00 | $22,048.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,222.12 / $41,295.21
| Facility | | $5,840.42 | $15,222.12 | $41,295.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,541.71 / $15,777.44 / $23,839.90
| Facility | | $9,541.71 | $15,777.44 | $23,839.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,405.59 / $22,405.59 / $22,405.59
| Facility | | $22,405.59 | $22,405.59 | $22,405.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,747.75 / $15,894.35 / $24,544.61
| Facility | | $13,747.75 | $15,894.35 | $24,544.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $15,222.12 / $41,295.21
| Facility | | $5,840.42 | $15,222.12 | $41,295.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,993.02 / $32,272.57
| Facility | | $5,840.42 | $11,993.02 | $32,272.57 |