- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,842.40 / $19,660.80 / $34,399.00
| Facility | | $14,842.40 | $19,660.80 | $34,399.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,970.13 / $16,663.16 / $22,054.30
| Facility | | $13,970.13 | $16,663.16 | $22,054.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $16,191.70 / $33,263.01
| Facility | | $5,939.30 | $16,191.70 | $33,263.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,804.85 / $18,862.91 / $30,712.28
| Facility | | $12,804.85 | $18,862.91 | $30,712.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $17,483.22 / $30,946.81
| Facility | | $3,496.00 | $17,483.22 | $30,946.81 |