- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $32,723.10 / $52,707.30
| Facility | | $3,182.00 | $32,723.10 | $52,707.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,496.40 / $30,778.53 / $43,054.49
| Facility | | $25,496.40 | $30,778.53 | $43,054.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $25,844.74 / $48,780.44
| Facility | | $1,474.01 | $25,844.74 | $48,780.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,687.28 / $34,214.06 / $48,468.33
| Facility | | $23,687.28 | $34,214.06 | $48,468.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,440.12 / $27,997.03 / $54,435.00
| Facility | | $19,440.12 | $27,997.03 | $54,435.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,440.12 / $28,696.28 / $54,435.00
| Facility | | $19,440.12 | $28,696.28 | $54,435.00 |