- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,675.60 / $20,316.70 / $32,964.69
| Facility | | $14,675.60 | $20,316.70 | $32,964.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,937.56 / $18,399.13 / $27,025.40
| Facility | | $11,937.56 | $18,399.13 | $27,025.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,045.72 / $18,010.40 / $32,598.00
| Facility | | $13,045.72 | $18,010.40 | $32,598.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.22 / $191.01 / $324.51
| Facility | | $130.22 | $191.01 | $324.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,783.31 / $19,506.64 / $31,525.53
| Facility | | $12,783.31 | $19,506.64 | $31,525.53 |