- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,957.00 / $31,697.70 / $43,140.00
| Facility | | $19,957.00 | $31,697.70 | $43,140.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,413.57 / $23,413.57 / $23,413.57
| Facility | | $23,413.57 | $23,413.57 | $23,413.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,362.31 / $27,888.05 / $40,696.87
| Facility | | $17,362.31 | $27,888.05 | $40,696.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,908.34 / $27,722.81 / $42,942.72
| Facility | | $17,908.34 | $27,722.81 | $42,942.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,298.88 / $26,642.78 / $40,638.66
| Facility | | $16,298.88 | $26,642.78 | $40,638.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $34,465.57 / $46,648.70
| Facility | | $10,403.00 | $34,465.57 | $46,648.70 |