- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,924.30 / $33,015.69 / $57,765.00
| Facility | | $24,924.30 | $33,015.69 | $57,765.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,700.44 / $24,720.99 / $32,556.00
| Facility | | $23,700.44 | $24,720.99 | $32,556.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,313.77 / $51,938.80
| Facility | | $5,939.30 | $26,313.77 | $51,938.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,795.88 / $31,675.84 / $51,574.05
| Facility | | $18,795.88 | $31,675.84 | $51,574.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $34,024.29 / $58,444.34
| Facility | | $3,496.00 | $34,024.29 | $58,444.34 |