- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,136.80 / $34,475.40 / $55,190.00
| Facility | | $23,136.80 | $34,475.40 | $55,190.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,335.59 / $21,335.59 / $21,335.59
| Facility | | $21,335.59 | $21,335.59 | $21,335.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,857.16 / $26,956.76 / $38,254.71
| Facility | | $13,857.16 | $26,956.76 | $38,254.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,528.49 / $27,502.14 / $48,187.40
| Facility | | $20,528.49 | $27,502.14 | $48,187.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,157.32 / $31,146.44 / $41,737.16
| Facility | | $20,157.32 | $31,146.44 | $41,737.16 |