- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,231.00 / $26,793.20 / $41,366.30
| Facility | | $18,231.00 | $26,793.20 | $41,366.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,842.12 / $33,842.12 / $33,842.12
| Facility | | $33,842.12 | $33,842.12 | $33,842.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,386.49 / $58,837.08 / $75,432.14
| Facility | | $41,386.49 | $58,837.08 | $75,432.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,518.34 / $39,670.30 / $48,019.52
| Facility | | $20,518.34 | $39,670.30 | $48,019.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,231.00 / $27,404.70 / $43,821.40
| Facility | | $18,231.00 | $27,404.70 | $43,821.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,320.95 / $34,816.55 / $54,754.15
| Facility | | $21,320.95 | $34,816.55 | $54,754.15 |