- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,123.10 / $24,355.60 / $41,122.00
| Facility | | $11,123.10 | $24,355.60 | $41,122.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,226.60 / $38,918.47 / $50,465.27
| Facility | | $26,226.60 | $38,918.47 | $50,465.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,279.92 / $34,719.33 / $50,966.04
| Facility | | $24,279.92 | $34,719.33 | $50,966.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,866.56 / $34,331.03 / $71,993.25
| Facility | | $17,866.56 | $34,331.03 | $71,993.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,279.92 / $37,801.03 / $51,247.01
| Facility | | $24,279.92 | $37,801.03 | $51,247.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,034.23 / $31,969.97 / $48,061.20
| Facility | | $7,034.23 | $31,969.97 | $48,061.20 |