- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,748.60 / $33,623.10 / $51,624.00
| Facility | | $24,748.60 | $33,623.10 | $51,624.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,808.39 / $29,850.39 / $44,716.26
| Facility | | $18,808.39 | $29,850.39 | $44,716.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,589.99 / $29,806.27 / $53,948.00
| Facility | | $21,589.99 | $29,806.27 | $53,948.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.84 / $307.69 / $503.79
| Facility | | $161.84 | $307.69 | $503.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,780.28 / $32,910.98 / $54,163.79
| Facility | | $23,780.28 | $32,910.98 | $54,163.79 |