- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,090.30 / $18,297.09 / $29,702.00
| Facility | | $13,090.30 | $18,297.09 | $29,702.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,391.36 / $25,391.36 / $25,391.36
| Facility | | $25,391.36 | $25,391.36 | $25,391.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,864.74 / $31,084.00 / $39,851.28
| Facility | | $21,864.74 | $31,084.00 | $39,851.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,732.66 / $28,484.21 / $36,027.37
| Facility | | $14,732.66 | $28,484.21 | $36,027.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,090.30 / $19,677.30 / $31,464.80
| Facility | | $13,090.30 | $19,677.30 | $31,464.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,308.94 / $26,178.48 / $39,772.72
| Facility | | $15,308.94 | $26,178.48 | $39,772.72 |