- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,401.00 / $19,076.20 / $33,376.10
| Facility | | $14,401.00 | $19,076.20 | $33,376.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,214.79 / $25,214.79 / $25,214.79
| Facility | | $25,214.79 | $25,214.79 | $25,214.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $16,223.07 / $31,090.96
| Facility | | $5,939.30 | $16,223.07 | $31,090.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,424.08 / $19,265.20 / $29,799.00
| Facility | | $12,424.08 | $19,265.20 | $29,799.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $19,658.91 / $33,768.58
| Facility | | $3,496.00 | $19,658.91 | $33,768.58 |