- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,557.70 / $32,005.10 / $47,298.00
| Facility | | $23,557.70 | $32,005.10 | $47,298.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,908.75 / $28,422.62 / $42,577.44
| Facility | | $17,908.75 | $28,422.62 | $42,577.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,551.07 / $28,530.00 / $51,352.00
| Facility | | $20,551.07 | $28,530.00 | $51,352.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.06 / $292.89 / $479.55
| Facility | | $154.06 | $292.89 | $479.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,775.93 / $30,187.27 / $48,730.48
| Facility | | $20,775.93 | $30,187.27 | $48,730.48 |