- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,564.00 / $31,067.20 / $45,128.00
| Facility | | $21,564.00 | $31,067.20 | $45,128.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,391.87 / $28,063.37 / $40,254.71
| Facility | | $17,391.87 | $28,063.37 | $40,254.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,550.79 / $27,034.83 / $50,341.59
| Facility | | $19,550.79 | $27,034.83 | $50,341.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.16 / $289.29 / $473.67
| Facility | | $152.16 | $289.29 | $473.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,618.00 / $30,433.20 / $49,053.25
| Facility | | $17,618.00 | $30,433.20 | $49,053.25 |