- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,368.30 / $37,739.10 / $44,136.00
| Facility | | $24,368.30 | $37,739.10 | $44,136.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,367.58 / $35,374.24 / $49,894.60
| Facility | | $23,367.58 | $35,374.24 | $49,894.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,502.40 / $33,482.00 / $48,016.00
| Facility | | $22,502.40 | $33,482.00 | $48,016.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $32,055.00 / $48,242.00
| Facility | | $20,832.00 | $32,055.00 | $48,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $42,357.94 / $58,022.87
| Facility | | $5,274.00 | $42,357.94 | $58,022.87 |