- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,603.09 / $22,167.60 / $33,578.00
| Facility | | $16,603.09 | $22,167.60 | $33,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,255.82 / $20,236.90 / $30,091.25
| Facility | | $13,255.82 | $20,236.90 | $30,091.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,484.04 / $19,996.08 / $36,192.00
| Facility | | $14,484.04 | $19,996.08 | $36,192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.59 / $206.42 / $337.98
| Facility | | $144.59 | $206.42 | $337.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,953.43 / $22,078.93 / $36,336.76
| Facility | | $15,953.43 | $22,078.93 | $36,336.76 |