- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,627.00 / $41,224.50 / $55,320.00
| Facility | | $18,627.00 | $41,224.50 | $55,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,451.15 / $24,935.39 / $33,347.23
| Facility | | $22,451.15 | $24,935.39 | $33,347.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,106.38 / $34,558.46 / $55,294.87
| Facility | | $20,106.38 | $34,558.46 | $55,294.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,406.43 / $33,192.00 / $76,122.53
| Facility | | $20,406.43 | $33,192.00 | $76,122.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,084.12 / $32,574.63 / $46,889.23
| Facility | | $24,084.12 | $32,574.63 | $46,889.23 |