- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,109.00 / $28,109.00 / $33,314.80
| Facility | | $28,109.00 | $28,109.00 | $33,314.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,124.23 / $31,116.15 / $46,547.86
| Facility | | $19,124.23 | $31,116.15 | $46,547.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,989.72 / $28,454.64 / $48,412.28
| Facility | | $22,989.72 | $28,454.64 | $48,412.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,568.50 / $33,002.22 / $54,019.88
| Facility | | $20,568.50 | $33,002.22 | $54,019.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.33 / $17,755.34 / $27,565.09
| Facility | | $281.33 | $17,755.34 | $27,565.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,405.95 / $32,604.79 / $38,318.81
| Facility | | $23,405.95 | $32,604.79 | $38,318.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,123.87 / $34,777.76 / $43,840.22
| Facility | | $21,123.87 | $34,777.76 | $43,840.22 |