- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $26,893.20 / $48,877.30
| Facility | | $3,182.00 | $26,893.20 | $48,877.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,212.85 / $27,212.85 / $34,590.41
| Facility | | $27,212.85 | $27,212.85 | $34,590.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $18,997.06 / $43,277.43
| Facility | | $1,474.01 | $18,997.06 | $43,277.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,973.94 / $31,739.30 / $44,962.54
| Facility | | $21,973.94 | $31,739.30 | $44,962.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,207.64 / $26,620.63 / $55,906.60
| Facility | | $19,207.64 | $26,620.63 | $55,906.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,033.98 / $25,886.14 / $47,993.86
| Facility | | $18,033.98 | $25,886.14 | $47,993.86 |