- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,947.00 / $30,142.00 / $53,471.00
| Facility | | $21,947.00 | $30,142.00 | $53,471.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,308.00 / $21,596.60 / $37,461.83
| Facility | | $16,308.00 | $21,596.60 | $37,461.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $27,497.27 / $51,256.46
| Facility | | $5,939.30 | $27,497.27 | $51,256.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,641.57 / $31,294.47 / $47,740.28
| Facility | | $20,641.57 | $31,294.47 | $47,740.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $33,807.83 / $56,316.16
| Facility | | $3,535.00 | $33,807.83 | $56,316.16 |