- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,203.10 / $22,013.20 / $32,661.00
| Facility | | $16,203.10 | $22,013.20 | $32,661.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,036.07 / $18,036.07 / $18,468.36
| Facility | | $18,036.07 | $18,036.07 | $18,468.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,188.48 / $19,830.41 / $29,359.75
| Facility | | $13,188.48 | $19,830.41 | $29,359.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,135.06 / $19,514.30 / $35,320.00
| Facility | | $14,135.06 | $19,514.30 | $35,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.10 / $201.45 / $329.84
| Facility | | $141.10 | $201.45 | $329.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,231.31 / $22,376.99 / $32,990.65
| Facility | | $16,231.31 | $22,376.99 | $32,990.65 |