- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,512.20 / $36,828.50 / $49,188.70
| Facility | | $22,512.20 | $36,828.50 | $49,188.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,707.00 / $33,007.56 / $45,901.00
| Facility | | $22,707.00 | $33,007.56 | $45,901.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,935.18 / $31,039.86 / $42,538.03
| Facility | | $19,935.18 | $31,039.86 | $42,538.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,184.00 / $30,115.00 / $41,357.00
| Facility | | $22,184.00 | $30,115.00 | $41,357.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,245.00 / $38,063.00 / $51,279.81
| Facility | | $7,245.00 | $38,063.00 | $51,279.81 |