- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,312.80 / $31,672.30 / $48,645.00
| Facility | | $23,312.80 | $31,672.30 | $48,645.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,720.47 / $28,238.52 / $42,244.12
| Facility | | $17,720.47 | $28,238.52 | $42,244.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,337.36 / $28,076.95 / $50,818.00
| Facility | | $20,337.36 | $28,076.95 | $50,818.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.44 / $289.83 / $474.56
| Facility | | $152.44 | $289.83 | $474.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,400.57 / $31,001.52 / $51,021.27
| Facility | | $22,400.57 | $31,001.52 | $51,021.27 |