- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,005.00 / $34,843.69 / $46,757.50
| Facility | | $21,005.00 | $34,843.69 | $46,757.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,461.37 / $28,948.90 / $37,396.37
| Facility | | $21,461.37 | $28,948.90 | $37,396.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,867.30 / $30,160.00 / $48,257.16
| Facility | | $17,867.30 | $30,160.00 | $48,257.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,247.91 / $28,054.50 / $64,340.19
| Facility | | $17,247.91 | $28,054.50 | $64,340.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,477.91 / $27,635.55 / $39,149.12
| Facility | | $20,477.91 | $27,635.55 | $39,149.12 |