- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,957.10 / $20,320.40 / $31,357.00
| Facility | | $14,957.10 | $20,320.40 | $31,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,367.47 / $18,367.47 / $25,096.54
| Facility | | $18,367.47 | $18,367.47 | $25,096.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,172.84 / $18,474.41 / $27,098.75
| Facility | | $12,172.84 | $18,474.41 | $27,098.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,048.12 / $18,013.71 / $32,604.00
| Facility | | $13,048.12 | $18,013.71 | $32,604.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.25 / $185.96 / $304.47
| Facility | | $130.25 | $185.96 | $304.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,371.84 / $19,890.07 / $32,734.42
| Facility | | $14,371.84 | $19,890.07 | $32,734.42 |