- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,674.30 / $17,157.09 / $26,489.00
| Facility | | $11,674.30 | $17,157.09 | $26,489.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,886.02 / $43,909.09 / $56,293.71
| Facility | | $30,886.02 | $43,909.09 | $56,293.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,138.99 / $25,403.00 / $32,130.19
| Facility | | $13,138.99 | $25,403.00 | $32,130.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,674.30 / $17,548.70 / $28,061.20
| Facility | | $11,674.30 | $17,548.70 | $28,061.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,652.93 / $23,346.68 / $35,470.40
| Facility | | $13,652.93 | $23,346.68 | $35,470.40 |