- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,589.30 / $22,538.00 / $34,401.00
| Facility | | $16,589.30 | $22,538.00 | $34,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,127.38 / $20,225.40 / $29,976.64
| Facility | | $13,127.38 | $20,225.40 | $29,976.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,472.03 / $19,979.50 / $36,162.00
| Facility | | $14,472.03 | $19,979.50 | $36,162.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.47 / $206.25 / $337.70
| Facility | | $144.47 | $206.25 | $337.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,940.21 / $22,060.63 / $36,306.65
| Facility | | $15,940.21 | $22,060.63 | $36,306.65 |