- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,527.50 / $32,506.70 / $58,704.80
| Facility | | $22,527.50 | $32,506.70 | $58,704.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,008.95 / $26,726.27 / $42,921.41
| Facility | | $22,008.95 | $26,726.27 | $42,921.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $29,902.82 / $57,307.74
| Facility | | $5,939.30 | $29,902.82 | $57,307.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,058.00 / $32,191.16 / $52,413.08
| Facility | | $19,058.00 | $32,191.16 | $52,413.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $34,554.00 / $59,395.13
| Facility | | $3,535.00 | $34,554.00 | $59,395.13 |