- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,634.90 / $28,395.10 / $46,154.00
| Facility | | $16,634.90 | $28,395.10 | $46,154.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,586.42 / $31,586.42 / $31,586.42
| Facility | | $31,586.42 | $31,586.42 | $31,586.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,211.19 / $22,561.34 / $35,592.69
| Facility | | $14,211.19 | $22,561.34 | $35,592.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,007.94 / $24,648.54 / $53,412.38
| Facility | | $13,007.94 | $24,648.54 | $53,412.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,559.96 / $23,564.07 / $32,412.86
| Facility | | $6,559.96 | $23,564.07 | $32,412.86 |