- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,530.00 / $34,906.40 / $39,502.19
| Facility | | $19,530.00 | $34,906.40 | $39,502.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,938.27 / $19,568.75 / $26,914.30
| Facility | | $12,938.27 | $19,568.75 | $26,914.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,278.96 / $28,682.69 / $39,921.25
| Facility | | $20,278.96 | $28,682.69 | $39,921.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,625.14 / $22,010.00 / $38,709.00
| Facility | | $13,625.14 | $22,010.00 | $38,709.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $32,569.24 / $53,692.41
| Facility | | $5,274.00 | $32,569.24 | $53,692.41 |