- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $22,684.70 / $37,548.40
| Facility | | $10,354.00 | $22,684.70 | $37,548.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,062.09 / $38,674.35 / $50,148.73
| Facility | | $26,062.09 | $38,674.35 | $50,148.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,192.05 / $30,133.07 / $48,179.61
| Facility | | $16,192.05 | $30,133.07 | $48,179.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,893.93 / $32,462.09 / $68,074.02
| Facility | | $16,893.93 | $32,462.09 | $68,074.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,525.61 / $12,525.61 / $12,525.61
| Facility | | $12,525.61 | $12,525.61 | $12,525.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $32,247.72 / $48,191.51
| Facility | | $17,648.00 | $32,247.72 | $48,191.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,775.33 / $41,447.68
| Facility | | $5,281.00 | $21,775.33 | $41,447.68 |