- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,846.00 / $27,181.20 / $32,215.10
| Facility | | $1,846.00 | $27,181.20 | $32,215.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,665.81 / $31,997.33 / $47,866.05
| Facility | | $19,665.81 | $31,997.33 | $47,866.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,230.86 / $27,515.39 / $46,814.25
| Facility | | $22,230.86 | $27,515.39 | $46,814.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,889.57 / $31,912.86 / $52,236.75
| Facility | | $19,889.57 | $31,912.86 | $52,236.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.29 / $18,258.15 / $26,655.20
| Facility | | $289.29 | $18,258.15 | $26,655.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,633.35 / $31,528.55 / $37,053.94
| Facility | | $22,633.35 | $31,528.55 | $37,053.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,426.59 / $33,629.80 / $42,393.11
| Facility | | $20,426.59 | $33,629.80 | $42,393.11 |