- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,037.10 / $36,555.80 / $49,055.00
| Facility | | $22,037.10 | $36,555.80 | $49,055.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,566.21 / $21,566.21 / $21,566.21
| Facility | | $21,566.21 | $21,566.21 | $21,566.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,155.13 / $30,046.02 / $48,074.78
| Facility | | $17,155.13 | $30,046.02 | $48,074.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,095.41 / $29,433.00 / $67,501.64
| Facility | | $18,095.41 | $29,433.00 | $67,501.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,356.58 / $28,993.47 / $41,072.76
| Facility | | $21,356.58 | $28,993.47 | $41,072.76 |