- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,148.00 / $19,055.00 / $32,491.90
| Facility | | $9,148.00 | $19,055.00 | $32,491.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,827.44 / $32,390.41 / $42,000.39
| Facility | | $21,827.44 | $32,390.41 | $42,000.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $26,075.21 / $41,691.51
| Facility | | $14,648.00 | $26,075.21 | $41,691.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,618.91 / $28,090.58 / $58,906.84
| Facility | | $14,618.91 | $28,090.58 | $58,906.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $27,905.08 / $41,701.80
| Facility | | $17,646.00 | $27,905.08 | $41,701.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $19,187.25 / $35,866.14
| Facility | | $5,281.00 | $19,187.25 | $35,866.14 |