- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,727.20 / $27,456.10 / $48,037.70
| Facility | | $20,727.20 | $27,456.10 | $48,037.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,791.36 / $21,791.36 / $47,071.60
| Facility | | $21,791.36 | $21,791.36 | $47,071.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $24,194.18 / $47,755.09
| Facility | | $5,939.30 | $24,194.18 | $47,755.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,930.00 / $26,341.81 / $42,889.28
| Facility | | $15,930.00 | $26,341.81 | $42,889.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $28,294.79 / $48,602.65
| Facility | | $3,496.00 | $28,294.79 | $48,602.65 |