- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,282.30 / $27,555.10 / $39,318.00
| Facility | | $20,282.30 | $27,555.10 | $39,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,362.33 / $24,471.34 / $36,242.62
| Facility | | $15,362.33 | $24,471.34 | $36,242.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,693.64 / $24,427.13 / $44,212.00
| Facility | | $17,693.64 | $24,427.13 | $44,212.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $252.16 / $412.87
| Facility | | $150.00 | $252.16 | $412.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,488.65 / $26,971.53 / $43,786.00
| Facility | | $19,488.65 | $26,971.53 | $43,786.00 |