- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,620.30 / $27,620.30 / $32,735.50
| Facility | | $27,620.30 | $27,620.30 | $32,735.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,882.66 / $32,350.15 / $48,393.86
| Facility | | $19,882.66 | $32,350.15 | $48,393.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,590.00 / $27,959.90 / $47,570.53
| Facility | | $22,590.00 | $27,959.90 | $47,570.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,210.88 / $32,428.41 / $53,080.63
| Facility | | $20,210.88 | $32,428.41 | $53,080.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.48 / $18,459.48 / $27,085.81
| Facility | | $292.48 | $18,459.48 | $27,085.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,998.99 / $32,037.89 / $37,652.55
| Facility | | $22,998.99 | $32,037.89 | $37,652.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,756.58 / $34,173.08 / $43,077.96
| Facility | | $20,756.58 | $34,173.08 | $43,077.96 |