- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,158.50 / $18,991.40 / $24,796.00
| Facility | | $9,158.50 | $18,991.40 | $24,796.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,119.08 / $46,441.38
| Facility | | $5,840.42 | $17,119.08 | $46,441.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,730.80 / $17,743.61 / $26,810.80
| Facility | | $10,730.80 | $17,743.61 | $26,810.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,197.75 / $25,197.75 / $25,197.75
| Facility | | $25,197.75 | $25,197.75 | $25,197.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,460.98 / $17,875.08 / $27,603.33
| Facility | | $15,460.98 | $17,875.08 | $27,603.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $17,119.08 / $46,441.38
| Facility | | $5,840.42 | $17,119.08 | $46,441.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,487.57 / $36,294.35
| Facility | | $5,840.42 | $13,487.57 | $36,294.35 |