- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,398.50 / $23,938.30 / $37,227.00
| Facility | | $14,398.50 | $23,938.30 | $37,227.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,959.83 / $17,959.83 / $18,855.95
| Facility | | $17,959.83 | $17,959.83 | $18,855.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,484.80 / $21,607.48 / $32,735.80
| Facility | | $13,484.80 | $21,607.48 | $32,735.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $18,943.71 / $32,430.61
| Facility | | $7,516.00 | $18,943.71 | $32,430.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $19,732.16 / $31,579.78
| Facility | | $7,516.00 | $19,732.16 | $31,579.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,996.17 / $24,378.13 / $34,826.36
| Facility | | $8,996.17 | $24,378.13 | $34,826.36 |