- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,273.00 / $25,449.80 / $33,228.40
| Facility | | $12,273.00 | $25,449.80 | $33,228.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,940.75 / $62,234.65
| Facility | | $5,840.42 | $22,940.75 | $62,234.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,380.01 / $23,777.66 / $35,928.32
| Facility | | $14,380.01 | $23,777.66 | $35,928.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,766.72 / $33,766.72 / $33,766.72
| Facility | | $33,766.72 | $33,766.72 | $33,766.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,718.78 / $23,953.85 / $36,990.36
| Facility | | $20,718.78 | $23,953.85 | $36,990.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $22,940.75 / $62,234.65
| Facility | | $5,840.42 | $22,940.75 | $62,234.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $18,074.28 / $48,636.93
| Facility | | $5,840.42 | $18,074.28 | $48,636.93 |