- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,788.93 / $20,095.90 / $32,357.00
| Facility | | $8,788.93 | $20,095.90 | $32,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,211.09 / $18,211.09 / $24,510.35
| Facility | | $18,211.09 | $18,211.09 | $24,510.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,673.80 / $27,713.57
| Facility | | $1,474.01 | $10,673.80 | $27,713.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,546.86 / $21,011.57 / $29,765.41
| Facility | | $14,546.86 | $21,011.57 | $29,765.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,715.55 / $17,622.98 / $37,010.44
| Facility | | $12,715.55 | $17,622.98 | $37,010.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,938.58 / $17,622.98 / $37,488.31
| Facility | | $11,938.58 | $17,622.98 | $37,488.31 |