- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,423.70 / $38,284.00 / $66,880.00
| Facility | | $24,423.70 | $38,284.00 | $66,880.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,471.23 / $34,471.23 / $35,200.66
| Facility | | $34,471.23 | $34,471.23 | $35,200.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,737.11 / $33,787.07 / $52,257.84
| Facility | | $20,737.11 | $33,787.07 | $52,257.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,084.56 / $31,027.41 / $57,174.57
| Facility | | $17,084.56 | $31,027.41 | $57,174.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,415.66 / $36,719.51 / $48,655.30
| Facility | | $24,415.66 | $36,719.51 | $48,655.30 |