- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,871.70 / $32,946.00 / $57,643.10
| Facility | | $24,871.70 | $32,946.00 | $57,643.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,268.29 / $24,268.29 / $26,818.09
| Facility | | $24,268.29 | $24,268.29 | $26,818.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,056.13 / $53,314.33
| Facility | | $5,939.30 | $26,056.13 | $53,314.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,977.89 / $31,608.96 / $51,465.15
| Facility | | $20,977.89 | $31,608.96 | $51,465.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $28,329.75 / $58,320.93
| Facility | | $3,496.00 | $28,329.75 | $58,320.93 |