- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,488.00 / $13,492.90 / $21,699.20
| Facility | | $10,488.00 | $13,492.90 | $21,699.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,606.59 / $18,606.59 / $19,635.90
| Facility | | $18,606.59 | $18,606.59 | $19,635.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,218.74 / $20,214.07 / $25,915.47
| Facility | | $14,218.74 | $20,214.07 | $25,915.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,196.37 / $20,438.39 / $594,737.48
| Facility | | $9,196.37 | $20,438.39 | $594,737.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,488.00 / $14,433.10 / $23,785.80
| Facility | | $10,488.00 | $14,433.10 | $23,785.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,700.00 / $11,525.00 / $24,829.92
| Facility | | $5,700.00 | $11,525.00 | $24,829.92 |