- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,144.00 / $22,085.00 / $35,850.90
| Facility | | $15,144.00 | $22,085.00 | $35,850.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,808.75 / $24,808.75 / $24,808.75
| Facility | | $24,808.75 | $24,808.75 | $24,808.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,950.96 / $46,836.06 / $60,046.23
| Facility | | $32,950.96 | $46,836.06 | $60,046.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.61 / $34,381.01 / $43,208.36
| Facility | | $17,782.61 | $34,381.01 | $43,208.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,800.20 / $23,750.80 / $37,978.60
| Facility | | $15,800.20 | $23,750.80 | $37,978.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,795.24 / $31,597.96 / $48,006.48
| Facility | | $20,795.24 | $31,597.96 | $48,006.48 |