- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,212.40 / $34,501.80 / $56,080.00
| Facility | | $20,212.40 | $34,501.80 | $56,080.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,440.72 / $26,122.88 / $35,280.54
| Facility | | $15,440.72 | $26,122.88 | $35,280.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,267.48 / $27,413.42 / $43,247.33
| Facility | | $17,267.48 | $27,413.42 | $43,247.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,037.03 / $18,196.16 / $43,616.48
| Facility | | $8,037.03 | $18,196.16 | $43,616.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,086.62 / $29,229.00 / $39,736.22
| Facility | | $20,086.62 | $29,229.00 | $39,736.22 |