- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,615.70 / $40,833.19 / $54,795.00
| Facility | | $24,615.70 | $40,833.19 | $54,795.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,071.89 / $29,071.89 / $29,071.89
| Facility | | $29,071.89 | $29,071.89 | $29,071.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,080.75 / $35,584.30 / $56,936.25
| Facility | | $21,080.75 | $35,584.30 | $56,936.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,212.78 / $32,877.00 / $75,400.11
| Facility | | $20,212.78 | $32,877.00 | $75,400.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,998.02 / $32,386.04 / $45,878.76
| Facility | | $23,998.02 | $32,386.04 | $45,878.76 |