- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $22,851.20 / $37,823.90
| Facility | | $10,354.00 | $22,851.20 | $37,823.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,751.09 / $39,696.78 / $51,474.51
| Facility | | $26,751.09 | $39,696.78 | $51,474.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,310.88 / $30,354.21 / $48,533.18
| Facility | | $16,310.88 | $30,354.21 | $48,533.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,017.90 / $32,700.31 / $68,573.58
| Facility | | $17,017.90 | $32,700.31 | $68,573.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $32,484.37 / $48,545.16
| Facility | | $17,648.00 | $32,484.37 | $48,545.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,935.13 / $41,751.85
| Facility | | $5,281.00 | $21,935.13 | $41,751.85 |