- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,463.00 / $24,456.80 / $42,790.10
| Facility | | $18,463.00 | $24,456.80 | $42,790.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,530.00 / $29,371.58 / $29,790.45
| Facility | | $1,530.00 | $29,371.58 | $29,790.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $21,350.03 / $42,657.99
| Facility | | $5,939.30 | $21,350.03 | $42,657.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,923.27 / $23,464.26 / $38,204.10
| Facility | | $13,923.27 | $23,464.26 | $38,204.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $25,203.90 / $38,495.83
| Facility | | $3,496.00 | $25,203.90 | $38,495.83 |