- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,110.50 / $23,246.00 / $34,771.00
| Facility | | $17,110.50 | $23,246.00 | $34,771.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,927.82 / $20,740.66 / $31,005.62
| Facility | | $13,927.82 | $20,740.66 | $31,005.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,844.60 / $19,896.62 / $37,298.00
| Facility | | $14,844.60 | $19,896.62 | $37,298.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.01 / $212.73 / $348.31
| Facility | | $149.01 | $212.73 | $348.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,440.96 / $22,753.64 / $37,447.19
| Facility | | $16,440.96 | $22,753.64 | $37,447.19 |