- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $24,616.00 / $41,016.90
| Facility | | $10,354.00 | $24,616.00 | $41,016.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,522.72 / $39,357.87 / $51,035.06
| Facility | | $26,522.72 | $39,357.87 | $51,035.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $32,916.58 / $52,630.16
| Facility | | $17,646.00 | $32,916.58 | $52,630.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,454.49 / $35,460.74 / $74,362.28
| Facility | | $18,454.49 | $35,460.74 | $74,362.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $35,226.57 / $52,643.15
| Facility | | $17,648.00 | $35,226.57 | $52,643.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,295.00 / $24,748.45 / $47,115.72
| Facility | | $8,295.00 | $24,748.45 | $47,115.72 |