- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,856.20 / $32,925.40 / $57,607.00
| Facility | | $24,856.20 | $32,925.40 | $57,607.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,077.28 / $25,937.71 / $38,122.97
| Facility | | $25,077.28 | $25,937.71 | $38,122.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $27,706.17 / $54,687.15
| Facility | | $5,939.30 | $27,706.17 | $54,687.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,967.34 / $33,733.80 / $51,432.98
| Facility | | $21,967.34 | $33,733.80 | $51,432.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $33,931.22 / $58,284.47
| Facility | | $3,496.00 | $33,931.22 | $58,284.47 |