- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,276.60 / $25,789.40 / $45,381.90
| Facility | | $15,276.60 | $25,789.40 | $45,381.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,628.00 / $21,686.53 / $27,117.59
| Facility | | $2,628.00 | $21,686.53 | $27,117.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,327.82 / $14,797.72 / $24,095.61
| Facility | | $10,327.82 | $14,797.72 | $24,095.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,896.46 / $23,377.43 / $32,114.06
| Facility | | $13,896.46 | $23,377.43 | $32,114.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,182.30 / $48,182.30 / $56,546.02
| Facility | | $48,182.30 | $48,182.30 | $56,546.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,158.00 / $23,700.02 / $37,840.37
| Facility | | $3,158.00 | $23,700.02 | $37,840.37 |