- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,247.70 / $18,486.59 / $21,314.00
| Facility | | $15,247.70 | $18,486.59 | $21,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,866.47 / $14,866.47 / $28,161.18
| Facility | | $14,866.47 | $14,866.47 | $28,161.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,563.88 / $21,589.96 / $37,055.12
| Facility | | $13,563.88 | $21,589.96 | $37,055.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $21,123.53 / $32,625.81
| Facility | | $3,137.00 | $21,123.53 | $32,625.81 |