- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,258.00 / $27,982.80 / $46,306.00
| Facility | | $15,258.00 | $27,982.80 | $46,306.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,577.13 / $20,587.86 / $33,947.33
| Facility | | $20,577.13 | $20,587.86 | $33,947.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,261.64 / $22,224.00 / $40,369.01
| Facility | | $12,261.64 | $22,224.00 | $40,369.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,439.62 / $18,492.97 / $34,062.56
| Facility | | $10,439.62 | $18,492.97 | $34,062.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,797.54 / $23,137.37 / $31,000.00
| Facility | | $15,797.54 | $23,137.37 | $31,000.00 |