- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,015.40 / $29,336.30 / $41,537.00
| Facility | | $16,015.40 | $29,336.30 | $41,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,053.00 / $27,359.11 / $43,017.09
| Facility | | $17,053.00 | $27,359.11 | $43,017.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,651.14 / $26,389.53 / $46,951.17
| Facility | | $16,651.14 | $26,389.53 | $46,951.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $24,898.50 / $55,519.85
| Facility | | $7,117.00 | $24,898.50 | $55,519.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $24,356.08 / $51,250.27
| Facility | | $3,308.00 | $24,356.08 | $51,250.27 |