- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,246.00 / $36,902.30 / $49,520.00
| Facility | | $22,246.00 | $36,902.30 | $49,520.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,674.64 / $29,674.64 / $29,674.64
| Facility | | $29,674.64 | $29,674.64 | $29,674.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,178.05 / $30,531.61 / $48,851.75
| Facility | | $17,178.05 | $30,531.61 | $48,851.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,243.78 / $29,712.00 / $68,141.50
| Facility | | $20,243.78 | $29,712.00 | $68,141.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,559.03 / $29,185.00 / $41,973.15
| Facility | | $21,559.03 | $29,185.00 | $41,973.15 |