- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,018.50 / $30,228.10 / $41,817.00
| Facility | | $9,018.50 | $30,228.10 | $41,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,829.33
| Facility | | $1,146.00 | $3,000.00 | $15,829.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,377.43 / $15,720.15 / $29,158.61
| Facility | | $11,377.43 | $15,720.15 | $29,158.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,377.43 / $15,720.15 / $29,158.61
| Facility | | $11,377.43 | $15,720.15 | $29,158.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,120.27 / $31,196.80
| Facility | | $5,419.00 | $20,120.27 | $31,196.80 |