- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,272.09 / $11,241.70 / $12,961.00
| Facility | | $9,272.09 | $11,241.70 | $12,961.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,090.08 / $44,090.08 / $44,090.08
| Facility | | $44,090.08 | $44,090.08 | $44,090.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,248.18 / $13,128.83 / $22,533.17
| Facility | | $8,248.18 | $13,128.83 | $22,533.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $19,515.48
| Facility | | $2,332.00 | $5,310.00 | $19,515.48 |