- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,676.00 / $26,003.80 / $34,895.00
| Facility | | $15,676.00 | $26,003.80 | $34,895.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,777.49 / $20,777.49 / $26,591.86
| Facility | | $20,777.49 | $20,777.49 | $26,591.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,395.41 / $21,709.70 / $34,736.36
| Facility | | $12,395.41 | $21,709.70 | $34,736.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,872.07 / $20,937.00 / $48,016.92
| Facility | | $12,872.07 | $20,937.00 | $48,016.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,223.49 / $20,547.57 / $29,577.00
| Facility | | $15,223.49 | $20,547.57 | $29,577.00 |