- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.00 / $16,449.20 / $37,705.40
| Facility | | $2,318.00 | $16,449.20 | $37,705.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,610.76 / $20,116.89 / $31,652.90
| Facility | | $12,610.76 | $20,116.89 | $31,652.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,203.66 / $25,680.35 / $45,689.41
| Facility | | $16,203.66 | $25,680.35 | $45,689.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,800.00 / $14,631.00 / $54,027.81
| Facility | | $2,800.00 | $14,631.00 | $54,027.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,800.00 / $12,029.99 / $45,306.44
| Facility | | $2,800.00 | $12,029.99 | $45,306.44 |