- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,640.50 / $19,651.00 / $34,580.10
| Facility | | $11,640.50 | $19,651.00 | $34,580.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,741.66 / $18,741.66 / $18,741.66
| Facility | | $18,741.66 | $18,741.66 | $18,741.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,567.99 / $15,599.40 / $25,867.66
| Facility | | $10,567.99 | $15,599.40 | $25,867.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,588.83 / $18,100.47 / $25,011.43
| Facility | | $10,588.83 | $18,100.47 | $25,011.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,142.60 / $34,142.60 / $40,069.24
| Facility | | $34,142.60 | $34,142.60 | $40,069.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $17,125.71 / $24,462.11
| Facility | | $1,787.00 | $17,125.71 | $24,462.11 |