- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,133.00 / $19,418.20 / $32,238.90
| Facility | | $15,133.00 | $19,418.20 | $32,238.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,834.87 / $15,834.87 / $17,034.34
| Facility | | $15,834.87 | $15,834.87 | $17,034.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,093.35 / $18,513.00 / $34,136.79
| Facility | | $12,093.35 | $18,513.00 | $34,136.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,737.90 / $21,226.20 / $37,071.76
| Facility | | $16,737.90 | $21,226.20 | $37,071.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,007.11 / $20,793.34 / $54,076.68
| Facility | | $10,007.11 | $20,793.34 | $54,076.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,007.11 / $19,852.74 / $27,902.05
| Facility | | $10,007.11 | $19,852.74 | $27,902.05 |