- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,414.10 / $22,803.20 / $38,501.00
| Facility | | $10,414.10 | $22,803.20 | $38,501.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,670.66 / $36,155.60 / $46,882.69
| Facility | | $24,670.66 | $36,155.60 | $46,882.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,732.35 / $32,506.38 / $47,717.54
| Facility | | $22,732.35 | $32,506.38 | $47,717.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,727.77 / $32,142.82 / $67,404.50
| Facility | | $16,727.77 | $32,142.82 | $67,404.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,732.35 / $35,391.65 / $47,980.61
| Facility | | $22,732.35 | $35,391.65 | $47,980.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,585.88 / $29,932.26 / $44,997.85
| Facility | | $6,585.88 | $29,932.26 | $44,997.85 |