- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,682.20 / $24,287.00 / $28,403.70
| Facility | | $15,682.20 | $24,287.00 | $28,403.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,734.59 / $25,333.12 / $35,731.81
| Facility | | $16,734.59 | $25,333.12 | $35,731.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,481.40 / $22,346.34 / $34,119.22
| Facility | | $14,481.40 | $22,346.34 | $34,119.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,253.00 / $23,606.00 / $29,289.00
| Facility | | $15,253.00 | $23,606.00 | $29,289.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $21,777.45 / $37,250.90
| Facility | | $5,274.00 | $21,777.45 | $37,250.90 |