- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,198.20 / $22,501.00 / $37,357.00
| Facility | | $14,198.20 | $22,501.00 | $37,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,999.05 / $10,999.05 / $26,531.33
| Facility | | $10,999.05 | $10,999.05 | $26,531.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,806.37 / $20,682.75 / $35,037.01
| Facility | | $13,806.37 | $20,682.75 | $35,037.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,449.91 / $23,999.93 / $34,364.99
| Facility | | $18,449.91 | $23,999.93 | $34,364.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,595.82 / $23,054.67 / $61,736.61
| Facility | | $11,595.82 | $23,054.67 | $61,736.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,595.82 / $23,004.52 / $32,331.72
| Facility | | $11,595.82 | $23,004.52 | $32,331.72 |