- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $46,773.51
| Facility | | $22,387.21 | $30,902.95 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $39,810.72
| Facility | | $17,378.01 | $27,542.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $47,863.01
| Facility | | $19,054.61 | $26,915.35 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $302.00 / $446.68
| Facility | | $181.97 | $302.00 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $43,651.58
| Facility | | $19,054.61 | $29,512.09 | $43,651.58 |