- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,944.03 / $22,737.00 / $36,609.50
| Facility | | $9,944.03 | $22,737.00 | $36,609.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,497.53 / $30,776.46
| Facility | | $1,474.01 | $11,497.53 | $30,776.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,458.68 / $23,773.04 / $33,677.37
| Facility | | $16,458.68 | $23,773.04 | $33,677.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,386.71 / $19,939.09 / $41,874.58
| Facility | | $14,386.71 | $19,939.09 | $41,874.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,507.62 / $19,939.09 / $42,415.26
| Facility | | $13,507.62 | $19,939.09 | $42,415.26 |