- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,596.52 / $23,480.40 / $45,778.00
| Facility | | $16,596.52 | $23,480.40 | $45,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,429.93 / $18,028.50 / $25,453.50
| Facility | | $14,429.93 | $18,028.50 | $25,453.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,782.03 / $21,179.01 / $36,095.12
| Facility | | $11,782.03 | $21,179.01 | $36,095.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,218.59 / $25,640.25 / $44,780.95
| Facility | | $20,218.59 | $25,640.25 | $44,780.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,568.75 / $25,117.39 / $40,264.24
| Facility | | $12,568.75 | $25,117.39 | $40,264.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,088.12 / $23,981.18 / $33,704.36
| Facility | | $12,088.12 | $23,981.18 | $33,704.36 |