- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,727.00 / $18,153.09 / $20,543.20
| Facility | | $11,727.00 | $18,153.09 | $20,543.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,733.39 / $17,746.41 / $23,967.87
| Facility | | $11,733.39 | $17,746.41 | $23,967.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,829.01 / $15,866.00 / $22,771.84
| Facility | | $10,829.01 | $15,866.00 | $22,771.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,347.00 / $17,537.00 / $21,757.00
| Facility | | $11,347.00 | $17,537.00 | $21,757.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $20,980.10 / $27,922.82
| Facility | | $5,274.00 | $20,980.10 | $27,922.82 |