- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,205.09 / $26,091.70 / $39,314.00
| Facility | | $19,205.09 | $26,091.70 | $39,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,196.68 / $23,276.25 / $34,796.12
| Facility | | $15,196.68 | $23,276.25 | $34,796.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,753.97 / $23,500.36 / $41,864.00
| Facility | | $16,753.97 | $23,500.36 | $41,864.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $238.77 / $390.95
| Facility | | $150.00 | $238.77 | $390.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,070.39 / $24,609.75 / $39,726.83
| Facility | | $17,070.39 | $24,609.75 | $39,726.83 |