- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,274.50 / $20,751.70 / $32,675.00
| Facility | | $15,274.50 | $20,751.70 | $32,675.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,061.31 / $22,061.31 / $23,362.90
| Facility | | $22,061.31 | $22,061.31 | $23,362.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,434.22 / $18,871.11 / $27,680.62
| Facility | | $12,434.22 | $18,871.11 | $27,680.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,325.06 / $18,690.71 / $33,296.00
| Facility | | $13,325.06 | $18,690.71 | $33,296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.02 / $195.10 / $310.93
| Facility | | $133.02 | $195.10 | $310.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,676.88 / $20,312.22 / $33,429.18
| Facility | | $14,676.88 | $20,312.22 | $33,429.18 |