- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,777.50 / $25,960.50 / $34,121.00
| Facility | | $17,777.50 | $25,960.50 | $34,121.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,743.11 / $26,534.15 / $44,878.94
| Facility | | $9,743.11 | $26,534.15 | $44,878.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,711.66 / $26,196.00 / $46,726.27
| Facility | | $18,711.66 | $26,196.00 | $46,726.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,361.70 / $29,100.97 / $42,489.79
| Facility | | $22,361.70 | $29,100.97 | $42,489.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,827.68 / $25,449.33 / $39,669.74
| Facility | | $14,827.68 | $25,449.33 | $39,669.74 |