- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $22,330.90 / $37,005.80
| Facility | | $10,354.00 | $22,330.90 | $37,005.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,384.70 / $37,669.15 / $48,845.29
| Facility | | $25,384.70 | $37,669.15 | $48,845.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,958.08 / $29,697.65 / $47,483.42
| Facility | | $15,958.08 | $29,697.65 | $47,483.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,649.81 / $31,993.01 / $67,090.35
| Facility | | $16,649.81 | $31,993.01 | $67,090.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $31,781.74 / $47,495.14
| Facility | | $17,648.00 | $31,781.74 | $47,495.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,460.68 / $40,848.76
| Facility | | $5,281.00 | $21,460.68 | $40,848.76 |