- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,586.01 / $17,791.09 / $29,537.40
| Facility | | $12,586.01 | $17,791.09 | $29,537.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,978.31 / $15,340.69 / $15,840.00
| Facility | | $14,978.31 | $15,340.69 | $15,840.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,766.34 / $16,481.55 / $27,856.26
| Facility | | $10,766.34 | $16,481.55 | $27,856.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,335.37 / $18,976.25 / $27,337.00
| Facility | | $15,335.37 | $18,976.25 | $27,337.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,168.58 / $19,051.00 / $48,142.80
| Facility | | $9,168.58 | $19,051.00 | $48,142.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $18,000.07 / $25,564.03
| Facility | | $9,226.00 | $18,000.07 | $25,564.03 |