- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,844.00 / $33,576.00 / $71,246.60
| Facility | | $6,844.00 | $33,576.00 | $71,246.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,486.24 / $36,769.87 / $47,763.08
| Facility | | $31,486.24 | $36,769.87 | $47,763.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,647.81 / $34,373.55 / $55,584.53
| Facility | | $21,647.81 | $34,373.55 | $55,584.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,027.11 / $44,268.69 / $84,847.55
| Facility | | $22,027.11 | $44,268.69 | $84,847.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,447.52 / $44,642.36 / $70,709.00
| Facility | | $28,447.52 | $44,642.36 | $70,709.00 |