- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,296.66 / $33,862.69 / $57,009.00
| Facility | | $24,296.66 | $33,862.69 | $57,009.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,372.53 / $20,372.53 / $39,533.31
| Facility | | $20,372.53 | $20,372.53 | $39,533.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,532.41 / $29,708.91 / $49,568.26
| Facility | | $19,532.41 | $29,708.91 | $49,568.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,158.61 / $36,081.39 / $51,880.63
| Facility | | $29,158.61 | $36,081.39 | $51,880.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,433.09 / $35,452.04 / $58,067.80
| Facility | | $17,433.09 | $35,452.04 | $58,067.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,433.09 / $34,584.89 / $48,607.35
| Facility | | $17,433.09 | $34,584.89 | $48,607.35 |