- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,740.65 / $30,306.20 / $62,184.00
| Facility | | $20,740.65 | $30,306.20 | $62,184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,454.00 / $13,397.76 / $35,562.83
| Facility | | $11,454.00 | $13,397.76 | $35,562.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,266.94 / $27,025.62 / $47,136.03
| Facility | | $15,266.94 | $27,025.62 | $47,136.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,777.00 / $31,056.35 / $46,950.00
| Facility | | $21,777.00 | $31,056.35 | $46,950.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,170.00 / $32,419.04 / $49,319.00
| Facility | | $13,170.00 | $32,419.04 | $49,319.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,543.00 / $31,020.02 / $44,711.00
| Facility | | $12,543.00 | $31,020.02 | $44,711.00 |