- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,510.00 / $24,031.10 / $38,693.19
| Facility | | $10,510.00 | $24,031.10 | $38,693.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,301.00 / $20,983.22 / $37,260.64
| Facility | | $17,301.00 | $20,983.22 | $37,260.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,551.06 / $34,585.97
| Facility | | $1,474.01 | $13,551.06 | $34,585.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,395.46 / $25,126.11 / $35,594.15
| Facility | | $17,395.46 | $25,126.11 | $35,594.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,276.42 / $20,560.45 / $43,524.61
| Facility | | $14,276.42 | $20,560.45 | $43,524.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,276.42 / $21,073.96 / $44,829.37
| Facility | | $14,276.42 | $21,073.96 | $44,829.37 |