- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,866.40 / $44,705.30 / $50,873.00
| Facility | | $28,866.40 | $44,705.30 | $50,873.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,719.19 / $40,447.94 / $55,591.06
| Facility | | $26,719.19 | $40,447.94 | $55,591.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $37,537.68 / $56,879.10
| Facility | | $16,507.00 | $37,537.68 | $56,879.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,620.80 / $33,210.00 / $52,626.00
| Facility | | $15,620.80 | $33,210.00 | $52,626.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $40,085.93 / $68,733.10
| Facility | | $5,274.00 | $40,085.93 | $68,733.10 |