- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,141.40 / $20,056.90 / $35,092.00
| Facility | | $15,141.40 | $20,056.90 | $35,092.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,330.00 / $15,363.22 / $34,177.46
| Facility | | $10,330.00 | $15,363.22 | $34,177.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $16,958.97 / $33,668.06
| Facility | | $5,939.30 | $16,958.97 | $33,668.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,062.82 / $19,242.95 / $31,331.03
| Facility | | $13,062.82 | $19,242.95 | $31,331.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $20,669.62 / $31,570.28
| Facility | | $3,496.00 | $20,669.62 | $31,570.28 |