- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,739.59 / $21,507.90 / $27,222.00
| Facility | | $17,739.59 | $21,507.90 | $27,222.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,566.66 / $31,707.42 / $40,880.68
| Facility | | $27,566.66 | $31,707.42 | $40,880.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $14,552.00
| Facility | | $1,252.00 | $3,715.00 | $14,552.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,780.64 / $25,118.43 / $43,111.08
| Facility | | $15,780.64 | $25,118.43 | $43,111.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $24,443.67 / $37,340.26
| Facility | | $3,137.00 | $24,443.67 | $37,340.26 |