- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,901.00 / $22,618.20 / $30,340.30
| Facility | | $10,901.00 | $22,618.20 | $30,340.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,405.79 / $31,405.79 / $31,405.79
| Facility | | $31,405.79 | $31,405.79 | $31,405.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $22,354.09 / $26,580.05
| Facility | | $3,897.00 | $22,354.09 | $26,580.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,225.47 / $23,355.75 / $36,761.24
| Facility | | $19,225.47 | $23,355.75 | $36,761.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $28,855.41 / $36,442.35
| Facility | | $1,350.00 | $28,855.41 | $36,442.35 |