- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,323.41 / $32,060.80 / $53,228.60
| Facility | | $20,323.41 | $32,060.80 | $53,228.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,549.33 / $23,916.48 / $29,278.00
| Facility | | $8,549.33 | $23,916.48 | $29,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,665.82 / $27,962.51 / $47,369.07
| Facility | | $18,665.82 | $27,962.51 | $47,369.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,753.00 / $34,196.58 / $48,965.34
| Facility | | $26,753.00 | $34,196.58 | $48,965.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,522.43 / $34,331.26 / $83,466.17
| Facility | | $16,522.43 | $34,331.26 | $83,466.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,179.38 / $32,778.25 / $46,068.21
| Facility | | $17,179.38 | $32,778.25 | $46,068.21 |