- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,506.50 / $18,349.70 / $28,302.00
| Facility | | $13,506.50 | $18,349.70 | $28,302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,780.42 / $16,748.41 / $24,472.00
| Facility | | $10,780.42 | $16,748.41 | $24,472.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,782.69 / $16,266.71 / $29,442.00
| Facility | | $11,782.69 | $16,266.71 | $29,442.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.35 / $172.52 / $274.94
| Facility | | $123.35 | $172.52 | $274.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,978.03 / $17,961.09 / $29,559.77
| Facility | | $12,978.03 | $17,961.09 | $29,559.77 |