- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $22,680.60 / $37,585.30
| Facility | | $10,354.00 | $22,680.60 | $37,585.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,552.52 / $37,448.00 / $51,875.66
| Facility | | $25,552.52 | $37,448.00 | $51,875.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,207.98 / $30,162.71 / $48,227.00
| Facility | | $16,207.98 | $30,162.71 | $48,227.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,910.54 / $32,494.01 / $68,140.97
| Facility | | $16,910.54 | $32,494.01 | $68,140.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $32,279.43 / $48,238.90
| Facility | | $17,648.00 | $32,279.43 | $48,238.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,241.00 / $22,361.71 / $44,138.62
| Facility | | $8,241.00 | $22,361.71 | $44,138.62 |