- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,955.59 / $32,364.70 / $53,677.80
| Facility | | $20,955.59 | $32,364.70 | $53,677.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,362.49 / $38,362.49 / $38,362.49
| Facility | | $38,362.49 | $38,362.49 | $38,362.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,722.73 / $27,130.68 / $47,117.45
| Facility | | $17,722.73 | $27,130.68 | $47,117.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,764.00 / $33,016.10 / $49,378.63
| Facility | | $10,764.00 | $33,016.10 | $49,378.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,324.38 / $34,621.03 / $59,834.00
| Facility | | $17,324.38 | $34,621.03 | $59,834.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.89 / $33,126.98 / $47,576.89
| Facility | | $16,661.89 | $33,126.98 | $47,576.89 |