- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,655.90 / $35,797.19 / $57,638.00
| Facility | | $15,655.90 | $35,797.19 | $57,638.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $27,306.73 / $52,179.31
| Facility | | $1,474.01 | $27,306.73 | $52,179.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,912.54 / $37,428.23 / $53,021.59
| Facility | | $25,912.54 | $37,428.23 | $53,021.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,266.38 / $30,627.16 / $64,834.92
| Facility | | $21,266.38 | $30,627.16 | $64,834.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,266.38 / $31,392.09 / $66,778.50
| Facility | | $21,266.38 | $31,392.09 | $66,778.50 |