- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,668.59 / $27,378.40 / $47,901.90
| Facility | | $20,668.59 | $27,378.40 | $47,901.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,491.00 / $22,189.43 / $27,612.62
| Facility | | $16,491.00 | $22,189.43 | $27,612.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,576.43 / $48,198.20
| Facility | | $5,939.30 | $23,576.43 | $48,198.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,930.00 / $26,267.33 / $42,768.00
| Facility | | $15,930.00 | $26,267.33 | $42,768.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $28,214.78 / $48,465.22
| Facility | | $3,496.00 | $28,214.78 | $48,465.22 |