- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,352.45 / $28,121.00 / $47,126.00
| Facility | | $9,352.45 | $28,121.00 | $47,126.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,199.24 / $47,781.46 / $61,957.85
| Facility | | $32,199.24 | $47,781.46 | $61,957.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $37,163.67 / $59,420.79
| Facility | | $17,646.00 | $37,163.67 | $59,420.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,835.59 / $40,036.08 / $83,956.93
| Facility | | $20,835.59 | $40,036.08 | $83,956.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $39,771.69 / $59,435.46
| Facility | | $17,648.00 | $39,771.69 | $59,435.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,611.38 / $51,118.18
| Facility | | $5,281.00 | $26,611.38 | $51,118.18 |