- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,247.80 / $18,590.20 / $28,944.00
| Facility | | $13,247.80 | $18,590.20 | $28,944.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,575.36 / $16,433.89 / $24,006.50
| Facility | | $10,575.36 | $16,433.89 | $24,006.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,556.98 / $15,955.10 / $28,878.00
| Facility | | $11,556.98 | $15,955.10 | $28,878.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.98 / $169.21 / $269.68
| Facility | | $120.98 | $169.21 | $269.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,270.88 / $18,295.66 / $26,973.50
| Facility | | $13,270.88 | $18,295.66 | $26,973.50 |