- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,251.40 / $31,796.10 / $45,449.00
| Facility | | $23,251.40 | $31,796.10 | $45,449.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,104.03 / $28,732.52 / $43,041.68
| Facility | | $18,104.03 | $28,732.52 | $43,041.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,775.18 / $28,681.38 / $51,912.00
| Facility | | $20,775.18 | $28,681.38 | $51,912.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $155.74 / $296.08 / $484.78
| Facility | | $155.74 | $296.08 | $484.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,328.00 / $31,147.20 / $50,204.10
| Facility | | $20,328.00 | $31,147.20 | $50,204.10 |