- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,060.20 / $18,661.09 / $32,586.00
| Facility | | $14,060.20 | $18,661.09 | $32,586.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,835.90 / $14,188.46 / $21,616.44
| Facility | | $8,835.90 | $14,188.46 | $21,616.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $15,675.88 / $30,941.45
| Facility | | $5,939.30 | $15,675.88 | $30,941.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,790.95 / $19,081.89 / $29,093.63
| Facility | | $12,790.95 | $19,081.89 | $29,093.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $21,213.07 / $32,969.25
| Facility | | $3,496.00 | $21,213.07 | $32,969.25 |