- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,332.59 / $25,725.50 / $41,335.00
| Facility | | $18,332.59 | $25,725.50 | $41,335.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,470.61 / $26,470.61 / $26,470.61
| Facility | | $26,470.61 | $26,470.61 | $26,470.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,632.67 / $22,219.75 / $33,340.62
| Facility | | $14,632.67 | $22,219.75 | $33,340.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,992.79 / $22,311.00 / $39,962.00
| Facility | | $15,992.79 | $22,311.00 | $39,962.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $227.92 / $373.19
| Facility | | $150.00 | $227.92 | $373.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,615.25 / $24,378.82 / $40,121.85
| Facility | | $17,615.25 | $24,378.82 | $40,121.85 |