- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,272.00 / $46,852.20 / $81,391.00
| Facility | | $17,272.00 | $46,852.20 | $81,391.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,838.95 / $46,731.71 / $70,017.34
| Facility | | $28,838.95 | $46,731.71 | $70,017.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,802.49 / $47,413.87 / $84,464.00
| Facility | | $33,802.49 | $47,413.87 | $84,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.39 / $481.74 / $788.77
| Facility | | $253.39 | $481.74 | $788.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,258.19 / $49,652.16 / $81,685.13
| Facility | | $33,258.19 | $49,652.16 | $81,685.13 |