- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,014.80 / $30,905.50 / $49,517.00
| Facility | | $19,014.80 | $30,905.50 | $49,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,594.93 / $27,924.56 / $41,831.33
| Facility | | $17,594.93 | $27,924.56 | $41,831.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,193.29 / $27,878.05 / $50,458.00
| Facility | | $20,193.29 | $27,878.05 | $50,458.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.37 / $287.79 / $500.67
| Facility | | $151.37 | $287.79 | $500.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,104.06 / $30,741.54 / $48,797.93
| Facility | | $21,104.06 | $30,741.54 | $48,797.93 |