- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,119.50 / $27,119.50 / $32,142.00
| Facility | | $27,119.50 | $27,119.50 | $32,142.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,910.99 / $32,396.25 / $48,462.82
| Facility | | $19,910.99 | $32,396.25 | $48,462.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,180.43 / $27,452.98 / $46,708.06
| Facility | | $22,180.43 | $27,452.98 | $46,708.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,844.45 / $31,840.47 / $52,118.26
| Facility | | $19,844.45 | $31,840.47 | $52,118.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.89 / $18,485.78 / $26,594.74
| Facility | | $292.89 | $18,485.78 | $26,594.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,582.01 / $31,457.03 / $36,969.90
| Facility | | $22,582.01 | $31,457.03 | $36,969.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,380.25 / $33,553.51 / $42,296.94
| Facility | | $20,380.25 | $33,553.51 | $42,296.94 |