- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,157.70 / $32,496.50 / $47,922.00
| Facility | | $23,157.70 | $32,496.50 | $47,922.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,793.15 / $25,793.15 / $25,793.15
| Facility | | $25,793.15 | $25,793.15 | $25,793.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,601.91 / $27,935.63 / $41,847.92
| Facility | | $17,601.91 | $27,935.63 | $41,847.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,202.09 / $27,918.00 / $50,480.00
| Facility | | $20,202.09 | $27,918.00 | $50,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.44 / $287.91 / $471.41
| Facility | | $151.44 | $287.91 | $471.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,760.77 / $30,724.65 / $48,819.21
| Facility | | $21,760.77 | $30,724.65 | $48,819.21 |