- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,740.00 / $36,584.80 / $56,114.00
| Facility | | $22,740.00 | $36,584.80 | $56,114.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,654.91 / $29,654.91 / $45,526.86
| Facility | | $29,654.91 | $29,654.91 | $45,526.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,772.00 / $31,681.84 / $47,998.68
| Facility | | $19,772.00 | $31,681.84 | $47,998.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,669.40 / $31,997.02 / $49,563.49
| Facility | | $20,669.40 | $31,997.02 | $49,563.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,811.79 / $30,750.48 / $48,263.17
| Facility | | $18,811.79 | $30,750.48 | $48,263.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $37,239.76 / $53,224.90
| Facility | | $10,403.00 | $37,239.76 | $53,224.90 |