- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,416.30 / $27,374.00 / $45,547.60
| Facility | | $16,416.30 | $27,374.00 | $45,547.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,801.46 / $17,801.46 / $25,546.92
| Facility | | $17,801.46 | $17,801.46 | $25,546.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,665.00 / $20,890.00 / $35,125.06
| Facility | | $13,665.00 | $20,890.00 | $35,125.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,803.79 / $12,504.97 / $35,424.89
| Facility | | $4,803.79 | $12,504.97 | $35,424.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,663.65 / $21,690.82 / $31,550.04
| Facility | | $7,663.65 | $21,690.82 | $31,550.04 |