- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,888.35 / $20,323.20 / $32,723.00
| Facility | | $8,888.35 | $20,323.20 | $32,723.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,641.67 / $12,641.67 / $12,641.67
| Facility | | $12,641.67 | $12,641.67 | $12,641.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,476.76 / $26,198.25
| Facility | | $1,474.01 | $9,476.76 | $26,198.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,711.40 / $21,249.24 / $30,102.10
| Facility | | $14,711.40 | $21,249.24 | $30,102.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,859.38 / $17,822.32 / $37,429.07
| Facility | | $12,859.38 | $17,822.32 | $37,429.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,749.90 / $21,248.00 / $32,131.55
| Facility | | $13,749.90 | $21,248.00 | $32,131.55 |