- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,634.70 / $21,367.10 / $39,465.00
| Facility | | $16,634.70 | $21,367.10 | $39,465.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,010.50 / $7,138.30 / $14,476.04
| Facility | | $7,010.50 | $7,138.30 | $14,476.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,921.31 / $19,463.78 / $32,896.65
| Facility | | $12,921.31 | $19,463.78 | $32,896.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,398.82 / $23,207.00 / $34,231.00
| Facility | | $18,398.82 | $23,207.00 | $34,231.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,437.50 / $21,870.33 / $36,640.26
| Facility | | $11,437.50 | $21,870.33 | $36,640.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,000.13 / $21,822.75 / $30,670.80
| Facility | | $11,000.13 | $21,822.75 | $30,670.80 |