- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,147.10 / $23,201.30 / $37,357.00
| Facility | | $10,147.10 | $23,201.30 | $37,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,108.01 / $30,793.21
| Facility | | $1,474.01 | $11,108.01 | $30,793.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,794.74 / $24,258.43 / $34,364.99
| Facility | | $16,794.74 | $24,258.43 | $34,364.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,680.45 / $20,346.22 / $42,729.57
| Facility | | $14,680.45 | $20,346.22 | $42,729.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,783.42 / $20,346.22 / $43,281.29
| Facility | | $13,783.42 | $20,346.22 | $43,281.29 |