- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,127.00 / $27,127.00 / $32,150.90
| Facility | | $27,127.00 | $27,127.00 | $32,150.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,499.78 / $34,981.29 / $52,329.87
| Facility | | $21,499.78 | $34,981.29 | $52,329.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,186.58 / $27,460.59 / $46,721.01
| Facility | | $22,186.58 | $27,460.59 | $46,721.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,849.95 / $31,849.30 / $52,132.71
| Facility | | $19,849.95 | $31,849.30 | $52,132.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.27 / $19,960.84 / $28,519.24
| Facility | | $316.27 | $19,960.84 | $28,519.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,588.27 / $31,465.75 / $36,980.15
| Facility | | $22,588.27 | $31,465.75 | $36,980.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,385.91 / $33,562.82 / $42,308.67
| Facility | | $20,385.91 | $33,562.82 | $42,308.67 |