- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,421.00 / $11,940.00 / $46,070.00
| Facility | | $2,421.00 | $11,940.00 | $46,070.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,382.31 / $20,229.07 / $33,674.33
| Facility | | $7,382.31 | $20,229.07 | $33,674.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,670.66 / $40,138.43 / $71,595.63
| Facility | | $28,670.66 | $40,138.43 | $71,595.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,936.00 / $14,979.00 / $53,629.20
| Facility | | $9,936.00 | $14,979.00 | $53,629.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,081.00 / $15,119.00 / $59,180.19
| Facility | | $9,081.00 | $15,119.00 | $59,180.19 |