- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,846.00 / $32,044.50 / $37,979.00
| Facility | | $1,846.00 | $32,044.50 | $37,979.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,548.76 / $39,942.14 / $59,751.01
| Facility | | $24,548.76 | $39,942.14 | $59,751.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,208.43 / $32,438.48 / $55,190.31
| Facility | | $26,208.43 | $32,438.48 | $55,190.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,448.23 / $37,622.74 / $61,583.01
| Facility | | $23,448.23 | $37,622.74 | $61,583.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.12 / $22,791.58 / $32,563.68
| Facility | | $361.12 | $22,791.58 | $32,563.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,682.94 / $37,169.67 / $43,683.68
| Facility | | $26,682.94 | $37,169.67 | $43,683.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,081.34 / $39,646.89 / $49,978.13
| Facility | | $24,081.34 | $39,646.89 | $49,978.13 |