- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,031.02 / $23,272.00 / $38,637.00
| Facility | | $17,031.02 | $23,272.00 | $38,637.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,477.00 / $29,875.89 / $34,176.06
| Facility | | $10,477.00 | $29,875.89 | $34,176.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,028.93 / $21,016.16 / $35,601.81
| Facility | | $14,028.93 | $21,016.16 | $35,601.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,059.74 / $24,822.28 / $36,278.00
| Facility | | $20,059.74 | $24,822.28 | $36,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,993.15 / $23,844.64 / $62,731.81
| Facility | | $11,993.15 | $23,844.64 | $62,731.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,993.15 / $23,792.76 / $33,439.55
| Facility | | $11,993.15 | $23,792.76 | $33,439.55 |