- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,185.80 / $27,324.40 / $48,083.00
| Facility | | $16,185.80 | $27,324.40 | $48,083.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,140.00 / $14,040.04 / $28,770.60
| Facility | | $13,140.00 | $14,040.04 | $28,770.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,486.92 / $12,527.53 / $20,773.75
| Facility | | $8,486.92 | $12,527.53 | $20,773.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,341.50 / $24,768.82 / $33,985.03
| Facility | | $14,341.50 | $24,768.82 | $33,985.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,610.45 / $52,610.45 / $61,742.83
| Facility | | $52,610.45 | $52,610.45 | $61,742.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $23,812.96 / $34,014.08
| Facility | | $1,787.00 | $23,812.96 | $34,014.08 |