- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,061.00 / $34,720.19 / $67,675.30
| Facility | | $24,061.00 | $34,720.19 | $67,675.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,361.37 / $30,303.40 / $45,844.54
| Facility | | $21,361.37 | $30,303.40 | $45,844.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,786.47 / $31,480.45 / $64,130.52
| Facility | | $5,786.47 | $31,480.45 | $64,130.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,619.58 / $37,095.55 / $60,422.18
| Facility | | $23,619.58 | $37,095.55 | $60,422.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $44,055.70 / $68,471.14
| Facility | | $3,535.00 | $44,055.70 | $68,471.14 |