- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,360.30 / $19,709.80 / $32,723.00
| Facility | | $15,360.30 | $19,709.80 | $32,723.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,949.30 / $12,627.86 / $13,724.97
| Facility | | $6,949.30 | $12,627.86 | $13,724.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,166.96 / $14,794.00 / $29,527.01
| Facility | | $10,166.96 | $14,794.00 | $29,527.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,989.25 / $21,022.80 / $30,228.22
| Facility | | $16,989.25 | $21,022.80 | $30,228.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,157.39 / $20,194.80 / $43,213.45
| Facility | | $10,157.39 | $20,194.80 | $43,213.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $19,219.79 / $27,959.43
| Facility | | $9,226.00 | $19,219.79 | $27,959.43 |