- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,261.30 / $27,949.60 / $44,781.00
| Facility | | $19,261.30 | $27,949.60 | $44,781.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.42 / $25,284.87 / $37,835.56
| Facility | | $16,218.42 | $25,284.87 | $37,835.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,261.93 / $25,211.68 / $45,632.00
| Facility | | $18,261.93 | $25,211.68 | $45,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.87 / $192.55 / $315.27
| Facility | | $134.87 | $192.55 | $315.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,085.58 / $27,801.30 / $44,130.71
| Facility | | $19,085.58 | $27,801.30 | $44,130.71 |