- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,254.70 / $30,713.90 / $49,917.00
| Facility | | $19,254.70 | $30,713.90 | $49,917.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,087.03 / $28,087.03 / $28,087.03
| Facility | | $28,087.03 | $28,087.03 | $28,087.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,193.13 / $27,549.54 / $41,738.15
| Facility | | $17,193.13 | $27,549.54 | $41,738.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $25,332.90 / $43,368.56
| Facility | | $7,516.00 | $25,332.90 | $43,368.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $25,332.90 / $38,498.74
| Facility | | $7,516.00 | $25,332.90 | $38,498.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,078.96 / $32,382.54 / $46,572.33
| Facility | | $10,078.96 | $32,382.54 | $46,572.33 |