- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,058.20 / $24,533.60 / $36,002.00
| Facility | | $18,058.20 | $24,533.60 | $36,002.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,582.91 / $20,582.91 / $22,427.38
| Facility | | $20,582.91 | $20,582.91 | $22,427.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,412.96 / $21,886.12 / $32,718.00
| Facility | | $14,412.96 | $21,886.12 | $32,718.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,753.47 / $21,748.61 / $39,364.00
| Facility | | $15,753.47 | $21,748.61 | $39,364.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $224.51 / $367.60
| Facility | | $150.00 | $224.51 | $367.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,351.65 / $24,014.01 / $39,521.46
| Facility | | $17,351.65 | $24,014.01 | $39,521.46 |