- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,846.27 / $15,580.60 / $25,643.00
| Facility | | $7,846.27 | $15,580.60 | $25,643.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,412.06 / $28,806.16 / $37,352.72
| Facility | | $19,412.06 | $28,806.16 | $37,352.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,646.00 / $20,578.84 / $32,903.42
| Facility | | $14,646.00 | $20,578.84 | $32,903.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,742.84 / $21,291.08 / $43,721.37
| Facility | | $9,742.84 | $21,291.08 | $43,721.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,275.68 / $22,023.01 / $32,911.54
| Facility | | $16,275.68 | $22,023.01 | $32,911.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,399.43 / $16,930.14 / $30,562.71
| Facility | | $7,399.43 | $16,930.14 | $30,562.71 |