- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,697.00 / $18,305.30 / $28,620.10
| Facility | | $8,697.00 | $18,305.30 | $28,620.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,075.30 / $28,306.43 / $36,704.72
| Facility | | $19,075.30 | $28,306.43 | $36,704.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,648.00 / $22,967.98 / $36,723.37
| Facility | | $14,648.00 | $22,967.98 | $36,723.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,876.86 / $24,743.19 / $51,887.26
| Facility | | $12,876.86 | $24,743.19 | $51,887.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $24,579.80 / $36,732.44
| Facility | | $17,646.00 | $24,579.80 | $36,732.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,978.66 / $17,199.03 / $31,592.18
| Facility | | $4,978.66 | $17,199.03 | $31,592.18 |