- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,220.00 / $33,374.69 / $47,255.00
| Facility | | $18,220.00 | $33,374.69 | $47,255.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,612.29 / $34,616.42 / $53,823.94
| Facility | | $21,612.29 | $34,616.42 | $53,823.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,943.32 / $30,022.29 / $53,414.42
| Facility | | $18,943.32 | $30,022.29 | $53,414.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $27,708.91 / $58,305.33
| Facility | | $7,117.00 | $27,708.91 | $58,305.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,520.00 / $28,291.00 / $52,966.70
| Facility | | $6,520.00 | $28,291.00 | $52,966.70 |