- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,350.10 / $36,541.40 / $49,772.00
| Facility | | $22,350.10 | $36,541.40 | $49,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,737.37 / $35,737.37 / $40,999.87
| Facility | | $35,737.37 | $35,737.37 | $40,999.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,733.00 / $32,196.64 / $48,773.17
| Facility | | $18,733.00 | $32,196.64 | $48,773.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,644.88 / $31,959.06 / $49,504.68
| Facility | | $20,644.88 | $31,959.06 | $49,504.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,789.47 / $30,714.00 / $48,205.91
| Facility | | $18,789.47 | $30,714.00 | $48,205.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,375.91 / $35,906.64 / $53,776.96
| Facility | | $11,375.91 | $35,906.64 | $53,776.96 |