- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,025.70 / $21,472.00 / $44,098.00
| Facility | | $16,025.70 | $21,472.00 | $44,098.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,918.35 / $16,475.98 / $21,745.62
| Facility | | $7,918.35 | $16,475.98 | $21,745.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,846.84 / $22,911.95 / $32,734.00
| Facility | | $17,846.84 | $22,911.95 | $32,734.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,597.39 / $21,748.37 / $54,949.00
| Facility | | $10,597.39 | $21,748.37 | $54,949.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $21,069.61 / $54,949.00
| Facility | | $9,226.00 | $21,069.61 | $54,949.00 |