- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,600.09 / $23,973.00 / $48,719.40
| Facility | | $18,600.09 | $23,973.00 | $48,719.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,166.58 / $23,166.58 / $26,596.63
| Facility | | $23,166.58 | $23,166.58 | $26,596.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,112.81 / $22,704.79 / $25,957.44
| Facility | | $18,112.81 | $22,704.79 | $25,957.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,717.05 / $24,453.15 / $33,613.01
| Facility | | $14,717.05 | $24,453.15 | $33,613.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,333.56 / $26,641.57 / $34,873.40
| Facility | | $23,333.56 | $26,641.57 | $34,873.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $22,802.35 / $33,571.49
| Facility | | $1,518.00 | $22,802.35 | $33,571.49 |