- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,609.30 / $37,340.10 / $54,409.00
| Facility | | $26,609.30 | $37,340.10 | $54,409.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,722.71 / $28,722.71 / $28,722.71
| Facility | | $28,722.71 | $28,722.71 | $28,722.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,149.59 / $32,091.40 / $48,082.00
| Facility | | $20,149.59 | $32,091.40 | $48,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,213.20 / $32,047.21 / $58,004.00
| Facility | | $23,213.20 | $32,047.21 | $58,004.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.01 / $330.83 / $541.66
| Facility | | $174.01 | $330.83 | $541.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,568.16 / $35,385.33 / $58,236.02
| Facility | | $25,568.16 | $35,385.33 | $58,236.02 |