- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,829.40 / $33,732.80 / $48,722.00
| Facility | | $24,829.40 | $33,732.80 | $48,722.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,871.15 / $29,950.00 / $44,865.48
| Facility | | $18,871.15 | $29,950.00 | $44,865.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,660.42 / $29,903.51 / $54,124.00
| Facility | | $21,660.42 | $29,903.51 | $54,124.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.37 / $317.14 / $505.44
| Facility | | $162.37 | $317.14 | $505.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,695.37 / $33,018.35 / $52,343.32
| Facility | | $25,695.37 | $33,018.35 | $52,343.32 |