- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,189.00 / $25,418.50 / $44,472.80
| Facility | | $19,189.00 | $25,418.50 | $44,472.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,678.54 / $25,247.00 / $30,287.66
| Facility | | $17,678.54 | $25,247.00 | $30,287.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,343.09 / $42,016.44
| Facility | | $5,939.30 | $20,343.09 | $42,016.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,470.79 / $24,386.96 / $39,706.43
| Facility | | $14,470.79 | $24,386.96 | $39,706.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $26,195.01 / $40,009.64
| Facility | | $3,496.00 | $26,195.01 | $40,009.64 |