- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,550.70 / $43,133.80 / $75,903.00
| Facility | | $25,550.70 | $43,133.80 | $75,903.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,503.63 / $28,797.50 / $47,349.85
| Facility | | $19,503.63 | $28,797.50 | $47,349.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,218.82 / $38,046.29 / $53,648.20
| Facility | | $19,218.82 | $38,046.29 | $53,648.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,794.46 / $71,075.64 / $83,413.31
| Facility | | $33,794.46 | $71,075.64 | $83,413.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $33,918.80 / $53,406.66
| Facility | | $2,520.00 | $33,918.80 | $53,406.66 |