- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $24,574.30 / $40,676.00
| Facility | | $10,354.00 | $24,574.30 | $40,676.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,391.71 / $40,647.41 / $52,707.18
| Facility | | $27,391.71 | $40,647.41 | $52,707.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,540.78 / $32,643.02 / $52,192.76
| Facility | | $17,540.78 | $32,643.02 | $52,192.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,301.11 / $35,166.03 / $73,744.28
| Facility | | $18,301.11 | $35,166.03 | $73,744.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $34,933.81 / $52,205.64
| Facility | | $17,648.00 | $34,933.81 | $52,205.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $23,415.00 / $44,900.09
| Facility | | $5,281.00 | $23,415.00 | $44,900.09 |