- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,793.00 / $22,095.30 / $34,562.00
| Facility | | $15,793.00 | $22,095.30 | $34,562.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,472.27 / $20,191.63 / $29,991.50
| Facility | | $13,472.27 | $20,191.63 | $29,991.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,436.81 / $19,930.89 / $36,074.00
| Facility | | $14,436.81 | $19,930.89 | $36,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.12 / $205.75 / $336.88
| Facility | | $144.12 | $205.75 | $336.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,901.42 / $22,006.94 / $36,218.30
| Facility | | $15,901.42 | $22,006.94 | $36,218.30 |