- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,074.00 / $30,564.70 / $53,476.60
| Facility | | $23,074.00 | $30,564.70 | $53,476.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,440.77 / $21,440.77 / $34,906.10
| Facility | | $21,440.77 | $21,440.77 | $34,906.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,382.96 / $53,964.05
| Facility | | $5,939.30 | $23,382.96 | $53,964.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,400.48 / $29,324.25 / $47,745.23
| Facility | | $17,400.48 | $29,324.25 | $47,745.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $31,498.34 / $54,105.47
| Facility | | $3,496.00 | $31,498.34 | $54,105.47 |