- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,332.00 / $22,532.60 / $34,788.40
| Facility | | $15,332.00 | $22,532.60 | $34,788.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,668.00 / $10,477.10 / $29,456.92
| Facility | | $6,668.00 | $10,477.10 | $29,456.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,328.12 / $6,451.49 / $18,732.56
| Facility | | $4,328.12 | $6,451.49 | $18,732.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,874.98 / $7,591.72 / $38,562.65
| Facility | | $3,874.98 | $7,591.72 | $38,562.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,332.00 / $23,047.00 / $36,853.10
| Facility | | $15,332.00 | $23,047.00 | $36,853.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,312.00 / $8,901.00 / $36,867.81
| Facility | | $1,312.00 | $8,901.00 | $36,867.81 |