- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,476.90 / $30,181.60 / $42,734.00
| Facility | | $16,476.90 | $30,181.60 | $42,734.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,360.89 / $36,360.89 / $36,360.89
| Facility | | $36,360.89 | $36,360.89 | $36,360.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,233.57 / $29,253.90 / $45,969.69
| Facility | | $18,233.57 | $29,253.90 | $45,969.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,130.96 / $25,476.00 / $48,304.12
| Facility | | $17,130.96 | $25,476.00 | $48,304.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $25,615.98 / $57,119.71
| Facility | | $7,896.00 | $25,615.98 | $57,119.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $24,240.31 / $47,899.23
| Facility | | $3,308.00 | $24,240.31 | $47,899.23 |