- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,697.00 / $19,422.00 / $33,795.80
| Facility | | $8,697.00 | $19,422.00 | $33,795.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,882.96 / $30,988.88 / $40,183.03
| Facility | | $20,882.96 | $30,988.88 | $40,183.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $27,121.59 / $43,364.57
| Facility | | $14,648.00 | $27,121.59 | $43,364.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,205.56 / $29,217.84 / $61,270.74
| Facility | | $15,205.56 | $29,217.84 | $61,270.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,225.13 / $28,609.33 / $43,375.27
| Facility | | $16,225.13 | $28,609.33 | $43,375.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,276.22 / $23,860.62 / $40,000.08
| Facility | | $5,276.22 | $23,860.62 | $40,000.08 |