- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,613.60 / $26,554.40 / $42,756.00
| Facility | | $11,613.60 | $26,554.40 | $42,756.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,761.87 / $24,761.87 / $24,761.87
| Facility | | $24,761.87 | $24,761.87 | $24,761.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,957.17 / $37,591.28
| Facility | | $1,474.01 | $13,957.17 | $37,591.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,221.98 / $27,764.34 / $39,331.53
| Facility | | $19,221.98 | $27,764.34 | $39,331.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,775.45 / $22,719.29 / $48,094.69
| Facility | | $15,775.45 | $22,719.29 | $48,094.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,775.45 / $23,286.72 / $49,536.44
| Facility | | $15,775.45 | $23,286.72 | $49,536.44 |