- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,011.34 / $32,768.80 / $54,404.00
| Facility | | $23,011.34 | $32,768.80 | $54,404.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,401.35 / $11,401.35 / $11,401.35
| Facility | | $11,401.35 | $11,401.35 | $11,401.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,265.47 / $30,358.88 / $52,433.83
| Facility | | $20,265.47 | $30,358.88 | $52,433.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,245.71 / $35,432.00 / $52,263.00
| Facility | | $28,245.71 | $35,432.00 | $52,263.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,887.30 / $33,575.14 / $90,619.18
| Facility | | $16,887.30 | $33,575.14 | $90,619.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,887.30 / $33,502.10 / $47,085.54
| Facility | | $16,887.30 | $33,502.10 | $47,085.54 |