- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,546.20 / $22,479.40 / $34,194.00
| Facility | | $16,546.20 | $22,479.40 | $34,194.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,464.80 / $20,189.29 / $29,974.87
| Facility | | $13,464.80 | $20,189.29 | $29,974.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,434.41 / $19,927.57 / $36,068.00
| Facility | | $14,434.41 | $19,927.57 | $36,068.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.09 / $205.71 / $336.82
| Facility | | $144.09 | $205.71 | $336.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,898.77 / $22,003.28 / $36,212.26
| Facility | | $15,898.77 | $22,003.28 | $36,212.26 |