- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,245.10 / $23,332.10 / $31,298.00
| Facility | | $11,245.10 | $23,332.10 | $31,298.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,137.41 / $32,137.41 / $32,137.41
| Facility | | $32,137.41 | $32,137.41 | $32,137.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $26,982.86 / $32,083.88
| Facility | | $3,897.00 | $26,982.86 | $32,083.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,832.30 / $24,092.95 / $37,921.57
| Facility | | $19,832.30 | $24,092.95 | $37,921.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $29,766.21 / $37,592.61
| Facility | | $1,350.00 | $29,766.21 | $37,592.61 |