- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,697.70 / $23,629.00 / $35,357.00
| Facility | | $17,697.70 | $23,629.00 | $35,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,947.74 / $14,947.74 / $14,947.74
| Facility | | $14,947.74 | $14,947.74 | $14,947.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,405.77 / $21,452.40 / $32,069.62
| Facility | | $14,405.77 | $21,452.40 | $32,069.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,354.04 / $20,562.07 / $38,288.67
| Facility | | $15,354.04 | $20,562.07 | $38,288.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $220.03 / $364.56
| Facility | | $150.00 | $220.03 | $364.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,135.25 / $23,480.50 / $37,308.78
| Facility | | $16,135.25 | $23,480.50 | $37,308.78 |