- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,770.09 / $23,725.80 / $37,251.00
| Facility | | $17,770.09 | $23,725.80 | $37,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,064.01 / $21,541.37 / $32,115.46
| Facility | | $14,064.01 | $21,541.37 | $32,115.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,502.15 / $21,462.00 / $38,736.00
| Facility | | $15,502.15 | $21,462.00 | $38,736.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $226.97 / $361.74
| Facility | | $150.00 | $226.97 | $361.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,074.83 / $23,630.90 / $38,890.94
| Facility | | $17,074.83 | $23,630.90 | $38,890.94 |