- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,723.60 / $37,779.19 / $52,045.00
| Facility | | $22,723.60 | $37,779.19 | $52,045.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,002.77 / $26,002.77 / $46,957.75
| Facility | | $26,002.77 | $26,002.77 | $46,957.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,495.93 / $32,841.81 / $49,756.05
| Facility | | $20,495.93 | $32,841.81 | $49,756.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,344.23 / $33,041.68 / $51,181.67
| Facility | | $21,344.23 | $33,041.68 | $51,181.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,493.39 / $35,998.08 / $51,181.67
| Facility | | $23,493.39 | $35,998.08 | $51,181.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,979.57 / $35,618.69 / $53,735.96
| Facility | | $13,979.57 | $35,618.69 | $53,735.96 |