- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,063.00 / $18,645.00 / $32,136.80
| Facility | | $9,063.00 | $18,645.00 | $32,136.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,881.03 / $30,986.00 / $40,179.31
| Facility | | $20,881.03 | $30,986.00 | $40,179.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $25,790.25 / $41,235.89
| Facility | | $14,648.00 | $25,790.25 | $41,235.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,459.15 / $27,783.60 / $58,263.08
| Facility | | $14,459.15 | $27,783.60 | $58,263.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $27,600.12 / $41,246.07
| Facility | | $17,646.00 | $27,600.12 | $41,246.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $18,977.56 / $35,474.17
| Facility | | $5,281.00 | $18,977.56 | $35,474.17 |