- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,626.00 / $37,130.00 / $68,025.00
| Facility | | $21,626.00 | $37,130.00 | $68,025.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,986.07 / $34,986.07 / $34,986.07
| Facility | | $34,986.07 | $34,986.07 | $34,986.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,554.06 / $30,638.08 / $45,842.22
| Facility | | $18,554.06 | $30,638.08 | $45,842.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,400.47 / $26,808.85 / $43,210.39
| Facility | | $16,400.47 | $26,808.85 | $43,210.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,993.62 / $26,291.04 / $40,891.97
| Facility | | $13,993.62 | $26,291.04 | $40,891.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $38,038.69 / $47,800.00
| Facility | | $10,403.00 | $38,038.69 | $47,800.00 |