- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,777.81 / $22,357.00 / $35,997.60
| Facility | | $9,777.81 | $22,357.00 | $35,997.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,564.42 / $31,531.57
| Facility | | $1,474.01 | $12,564.42 | $31,531.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,183.58 / $23,375.67 / $33,114.44
| Facility | | $16,183.58 | $23,375.67 | $33,114.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,146.23 / $19,605.82 / $41,174.64
| Facility | | $14,146.23 | $19,605.82 | $41,174.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,281.84 / $19,605.82 / $41,706.28
| Facility | | $13,281.84 | $19,605.82 | $41,706.28 |