- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,426.28 / $19,711.20 / $32,960.60
| Facility | | $9,426.28 | $19,711.20 | $32,960.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,649.98 / $33,611.01 / $43,583.14
| Facility | | $22,649.98 | $33,611.01 | $43,583.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $26,451.36 / $42,292.94
| Facility | | $14,648.00 | $26,451.36 | $42,292.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,829.79 / $28,495.81 / $59,756.61
| Facility | | $14,829.79 | $28,495.81 | $59,756.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,884.77 / $9,980.34 / $12,231.88
| Facility | | $5,884.77 | $9,980.34 | $12,231.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $28,307.63 / $42,303.38
| Facility | | $17,646.00 | $28,307.63 | $42,303.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $19,351.00 / $36,383.53
| Facility | | $5,281.00 | $19,351.00 | $36,383.53 |