- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,580.00 / $35,720.30 / $41,778.40
| Facility | | $20,580.00 | $35,720.30 | $41,778.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,109.70 / $38,011.49 / $53,614.38
| Facility | | $25,109.70 | $38,011.49 | $53,614.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,447.51 / $34,302.00 / $55,028.36
| Facility | | $21,447.51 | $34,302.00 | $55,028.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,506.75 / $38,343.00 / $45,346.00
| Facility | | $26,506.75 | $38,343.00 | $45,346.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,245.00 / $38,820.00 / $56,786.35
| Facility | | $7,245.00 | $38,820.00 | $56,786.35 |