- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,103.00 / $20,518.59 / $30,911.00
| Facility | | $15,103.00 | $20,518.59 | $30,911.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,349.33 / $24,349.33 / $24,349.33
| Facility | | $24,349.33 | $24,349.33 | $24,349.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,292.32 / $18,655.75 / $27,364.75
| Facility | | $12,292.32 | $18,655.75 | $27,364.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,175.38 / $18,189.41 / $32,922.00
| Facility | | $13,175.38 | $18,189.41 | $32,922.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.52 / $187.77 / $307.44
| Facility | | $131.52 | $187.77 | $307.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,512.02 / $20,084.07 / $33,053.69
| Facility | | $14,512.02 | $20,084.07 | $33,053.69 |