- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,052.50 / $19,269.00 / $45,104.00
| Facility | | $16,052.50 | $19,269.00 | $45,104.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,170.74 / $14,767.86 / $20,213.47
| Facility | | $8,170.74 | $14,767.86 | $20,213.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,359.43 / $13,496.16 / $32,665.19
| Facility | | $9,359.43 | $13,496.16 | $32,665.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,743.71 / $20,900.90 / $31,625.09
| Facility | | $14,743.71 | $20,900.90 | $31,625.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,208.57 / $26,053.22 / $41,850.92
| Facility | | $9,208.57 | $26,053.22 | $41,850.92 |