- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,884.50 / $17,202.70 / $26,374.00
| Facility | | $12,884.50 | $17,202.70 | $26,374.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,971.16 / $18,971.16 / $18,971.16
| Facility | | $18,971.16 | $18,971.16 | $18,971.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,368.32 / $16,001.38 / $23,428.54
| Facility | | $10,368.32 | $16,001.38 | $23,428.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,240.02 / $15,517.52 / $28,086.00
| Facility | | $11,240.02 | $15,517.52 | $28,086.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119.48 / $164.57 / $262.27
| Facility | | $119.48 | $164.57 | $262.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,380.31 / $17,133.86 / $28,198.34
| Facility | | $12,380.31 | $17,133.86 | $28,198.34 |