- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,647.00 / $19,899.09 / $29,031.00
| Facility | | $14,647.00 | $19,899.09 | $29,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,918.92 / $18,089.06 / $26,533.50
| Facility | | $11,918.92 | $18,089.06 | $26,533.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,777.59 / $17,640.22 / $31,928.00
| Facility | | $12,777.59 | $17,640.22 | $31,928.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.55 / $184.00 / $298.16
| Facility | | $127.55 | $184.00 | $298.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,073.86 / $19,477.68 / $32,055.71
| Facility | | $14,073.86 | $19,477.68 | $32,055.71 |