- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,112.00 / $31,147.40 / $35,232.00
| Facility | | $20,112.00 | $31,147.40 | $35,232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,255.21 / $33,690.31 / $47,519.46
| Facility | | $22,255.21 | $33,690.31 | $47,519.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,559.41 / $28,658.56 / $40,092.87
| Facility | | $18,559.41 | $28,658.56 | $40,092.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,356.00 / $27,372.00 / $38,427.00
| Facility | | $18,356.00 | $27,372.00 | $38,427.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $27,928.97 / $47,773.25
| Facility | | $5,274.00 | $27,928.97 | $47,773.25 |