- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,767.80 / $20,105.09 / $26,425.00
| Facility | | $13,767.80 | $20,105.09 | $26,425.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,718.66 / $15,574.06 / $26,341.43
| Facility | | $5,718.66 | $15,574.06 | $26,341.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,986.18 / $20,194.41 / $33,800.87
| Facility | | $13,986.18 | $20,194.41 | $33,800.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,318.00 / $22,537.23 / $32,906.19
| Facility | | $17,318.00 | $22,537.23 | $32,906.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,483.29 / $19,709.21 / $32,906.19
| Facility | | $11,483.29 | $19,709.21 | $32,906.19 |