- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,711.30 / $24,332.10 / $28,456.40
| Facility | | $15,711.30 | $24,332.10 | $28,456.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,657.90 / $23,682.11 / $31,984.48
| Facility | | $15,657.90 | $23,682.11 | $31,984.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,498.45 / $20,430.91 / $30,508.79
| Facility | | $14,498.45 | $20,430.91 | $30,508.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,991.53 / $23,095.00 / $30,275.00
| Facility | | $14,991.53 | $23,095.00 | $30,275.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $27,111.06 / $37,320.01
| Facility | | $5,274.00 | $27,111.06 | $37,320.01 |