- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,408.40 / $35,551.40 / $50,337.00
| Facility | | $19,408.40 | $35,551.40 | $50,337.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,284.64 / $26,404.91 / $42,377.34
| Facility | | $16,284.64 | $26,404.91 | $42,377.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,308.00 / $30,592.34 / $56,898.21
| Facility | | $14,308.00 | $30,592.34 | $56,898.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $28,390.46 / $67,282.25
| Facility | | $7,117.00 | $28,390.46 | $67,282.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,030.29 / $59,790.51
| Facility | | $3,308.00 | $27,030.29 | $59,790.51 |