- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,471.40 / $30,529.30 / $46,458.00
| Facility | | $22,471.40 | $30,529.30 | $46,458.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,528.28 / $25,528.28 / $27,322.32
| Facility | | $25,528.28 | $25,528.28 | $27,322.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,078.88 / $27,105.53 / $40,245.05
| Facility | | $17,078.88 | $27,105.53 | $40,245.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,880.88 / $26,941.20 / $53,882.40
| Facility | | $18,880.88 | $26,941.20 | $53,882.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $283.13 / $487.64
| Facility | | $150.00 | $283.13 | $487.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,766.00 / $26,666.89 / $45,753.51
| Facility | | $1,766.00 | $26,666.89 | $45,753.51 |