- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,011.59 / $27,187.40 / $38,927.00
| Facility | | $20,011.59 | $27,187.40 | $38,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,500.60 / $24,223.00 / $36,160.98
| Facility | | $15,500.60 | $24,223.00 | $36,160.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,457.52 / $24,101.16 / $43,622.00
| Facility | | $17,457.52 | $24,101.16 | $43,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $248.80 / $407.36
| Facility | | $150.00 | $248.80 | $407.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,228.58 / $26,611.60 / $43,796.49
| Facility | | $19,228.58 | $26,611.60 | $43,796.49 |