- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,086.60 / $19,084.59 / $30,980.30
| Facility | | $13,086.60 | $19,084.59 | $30,980.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,484.43 / $32,484.43 / $32,484.43
| Facility | | $32,484.43 | $32,484.43 | $32,484.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,531.00 / $59,042.51 / $75,695.53
| Facility | | $41,531.00 | $59,042.51 | $75,695.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,366.74 / $29,710.16 / $37,577.98
| Facility | | $15,366.74 | $29,710.16 | $37,577.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,653.70 / $20,524.20 / $32,819.00
| Facility | | $13,653.70 | $20,524.20 | $32,819.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,967.83 / $27,305.19 / $41,484.51
| Facility | | $15,967.83 | $27,305.19 | $41,484.51 |