- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,653.00 / $34,482.19 / $52,566.30
| Facility | | $17,653.00 | $34,482.19 | $52,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,971.85 / $41,642.41 / $65,446.54
| Facility | | $25,971.85 | $41,642.41 | $65,446.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,072.48 / $30,060.00 / $59,418.01
| Facility | | $21,072.48 | $30,060.00 | $59,418.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $32,397.34 / $70,261.91
| Facility | | $7,896.00 | $32,397.34 | $70,261.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $28,256.28 / $62,438.40
| Facility | | $3,308.00 | $28,256.28 | $62,438.40 |