- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $22,387.21 / $41,686.94
| Facility | | $12,302.69 | $22,387.21 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,908.68 / $40,738.03
| Facility | | $13,489.63 | $22,908.68 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $15,488.17 / $33,884.42
| Facility | | $100.00 | $15,488.17 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $15,848.93 / $40,738.03
| Facility | | $9,120.11 | $15,848.93 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $15,848.93 / $40,738.03
| Facility | | $9,120.11 | $15,848.93 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $18,620.87 / $38,018.94
| Facility | | $5,754.40 | $18,620.87 | $38,018.94 |