- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,143.70 / $40,562.00 / $57,431.40
| Facility | | $22,143.70 | $40,562.00 | $57,431.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,850.44 / $36,726.94 / $57,292.04
| Facility | | $22,850.44 | $36,726.94 | $57,292.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,673.95 / $30,561.00 / $64,917.26
| Facility | | $22,673.95 | $30,561.00 | $64,917.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $33,600.17 / $76,764.78
| Facility | | $7,896.00 | $33,600.17 | $76,764.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $30,600.00 / $64,373.12
| Facility | | $3,308.00 | $30,600.00 | $64,373.12 |