- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,673.60 / $19,935.30 / $30,432.00
| Facility | | $14,673.60 | $19,935.30 | $30,432.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,520.21 / $16,805.06 / $22,418.68
| Facility | | $16,520.21 | $16,805.06 | $22,418.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,941.33 / $18,123.06 / $26,583.37
| Facility | | $11,941.33 | $18,123.06 | $26,583.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,800.80 / $17,672.27 / $31,986.00
| Facility | | $12,800.80 | $17,672.27 | $31,986.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.78 / $184.00 / $298.70
| Facility | | $127.78 | $184.00 | $298.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,099.43 / $19,513.06 / $32,113.94
| Facility | | $14,099.43 | $19,513.06 | $32,113.94 |