- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,296.40 / $34,367.30 / $52,665.00
| Facility | | $25,296.40 | $34,367.30 | $52,665.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,226.82 / $30,514.47 / $45,711.06
| Facility | | $19,226.82 | $30,514.47 | $45,711.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,067.83 / $30,953.96 / $55,142.00
| Facility | | $22,067.83 | $30,953.96 | $55,142.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.43 / $323.10 / $514.94
| Facility | | $165.43 | $323.10 | $514.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,306.59 / $33,639.37 / $55,362.57
| Facility | | $24,306.59 | $33,639.37 | $55,362.57 |