- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,110.90 / $19,476.00 / $39,580.30
| Facility | | $15,110.90 | $19,476.00 | $39,580.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,125.24 / $19,125.24 / $19,125.24
| Facility | | $19,125.24 | $19,125.24 | $19,125.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,947.63 / $18,737.16 / $21,421.43
| Facility | | $14,947.63 | $18,737.16 | $21,421.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,061.76 / $21,350.59 / $27,767.36
| Facility | | $12,061.76 | $21,350.59 | $27,767.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,994.03 / $21,994.03 / $21,994.03
| Facility | | $21,994.03 | $21,994.03 | $21,994.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $19,505.00 / $27,273.93
| Facility | | $1,518.00 | $19,505.00 | $27,273.93 |