- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,638.00 / $24,959.60 / $40,188.19
| Facility | | $1,638.00 | $24,959.60 | $40,188.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,902.08 / $18,902.08 / $18,902.08
| Facility | | $18,902.08 | $18,902.08 | $18,902.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $2,360.28 / $12,429.30
| Facility | | $1,474.01 | $2,360.28 | $12,429.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,699.93 / $23,699.93 / $23,865.95
| Facility | | $23,699.93 | $23,699.93 | $23,865.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,793.03 / $21,888.19 / $45,967.90
| Facility | | $15,793.03 | $21,888.19 | $45,967.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,517.95 / $20,753.00 / $39,461.83
| Facility | | $14,517.95 | $20,753.00 | $39,461.83 |