- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,035.70 / $20,576.50 / $34,161.80
| Facility | | $16,035.70 | $20,576.50 | $34,161.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,229.00 / $22,869.98 / $32,756.06
| Facility | | $11,229.00 | $22,869.98 | $32,756.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,277.66 / $18,795.14 / $31,179.16
| Facility | | $12,277.66 | $18,795.14 | $31,179.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,736.25 / $21,947.17 / $31,670.00
| Facility | | $17,736.25 | $21,947.17 | $31,670.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,604.01 / $22,033.61 / $54,900.83
| Facility | | $10,604.01 | $22,033.61 | $54,900.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,604.01 / $21,036.89 / $29,566.32
| Facility | | $10,604.01 | $21,036.89 | $29,566.32 |