- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,086.00 / $23,061.80 / $37,132.40
| Facility | | $10,086.00 | $23,061.80 | $37,132.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,389.02 / $32,475.04
| Facility | | $1,474.01 | $10,389.02 | $32,475.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,693.75 / $24,112.56 / $34,158.35
| Facility | | $16,693.75 | $24,112.56 | $34,158.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,592.18 / $20,223.87 / $42,472.63
| Facility | | $14,592.18 | $20,223.87 | $42,472.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,700.54 / $20,223.87 / $43,021.03
| Facility | | $13,700.54 | $20,223.87 | $43,021.03 |