- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,968.30 / $42,072.40 / $59,570.00
| Facility | | $22,968.30 | $42,072.40 | $59,570.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,548.18 / $37,732.86 / $58,952.22
| Facility | | $23,548.18 | $37,732.86 | $58,952.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,880.12 / $37,846.37 / $67,334.70
| Facility | | $23,880.12 | $37,846.37 | $67,334.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $34,563.26 / $79,623.41
| Facility | | $7,117.00 | $34,563.26 | $79,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $32,021.07 / $70,757.52
| Facility | | $3,308.00 | $32,021.07 | $70,757.52 |