- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,032.33 / $19,643.70 / $41,131.00
| Facility | | $13,032.33 | $19,643.70 | $41,131.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,491.53 / $15,491.53 / $16,597.24
| Facility | | $15,491.53 | $15,491.53 | $16,597.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,831.15 / $17,904.52 / $30,024.41
| Facility | | $11,831.15 | $17,904.52 | $30,024.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,914.84 / $21,409.00 / $31,578.00
| Facility | | $16,914.84 | $21,409.00 | $31,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,112.91 / $20,565.66 / $33,685.01
| Facility | | $10,112.91 | $20,565.66 | $33,685.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,112.91 / $20,062.62 / $28,197.02
| Facility | | $10,112.91 | $20,062.62 | $28,197.02 |