- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,038.80 / $21,414.20 / $32,614.00
| Facility | | $16,038.80 | $21,414.20 | $32,614.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,908.71 / $19,648.00 / $29,060.50
| Facility | | $12,908.71 | $19,648.00 | $29,060.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,476.10 / $18,634.75 / $34,699.79
| Facility | | $13,476.10 | $18,634.75 | $34,699.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139.66 / $199.41 / $326.49
| Facility | | $139.66 | $199.41 | $326.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,411.25 / $21,328.57 / $35,101.85
| Facility | | $15,411.25 | $21,328.57 | $35,101.85 |