- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,201.20 / $17,817.30 / $23,418.10
| Facility | | $12,201.20 | $17,817.30 | $23,418.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,401.50 / $14,567.47 / $24,638.91
| Facility | | $5,401.50 | $14,567.47 | $24,638.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,842.30 / $17,979.00 / $32,069.45
| Facility | | $12,842.30 | $17,979.00 | $32,069.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,347.41 / $19,972.75 / $29,161.84
| Facility | | $15,347.41 | $19,972.75 | $29,161.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,347.41 / $18,567.33 / $29,161.84
| Facility | | $15,347.41 | $18,567.33 | $29,161.84 |