- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,339.00 / $23,339.00 / $27,661.30
| Facility | | $23,339.00 | $23,339.00 | $27,661.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,863.09 / $27,437.17 / $41,044.33
| Facility | | $16,863.09 | $27,437.17 | $41,044.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,088.41 / $23,625.94 / $40,196.80
| Facility | | $19,088.41 | $23,625.94 | $40,196.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,078.07 / $27,401.80 / $44,852.80
| Facility | | $17,078.07 | $27,401.80 | $44,852.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $248.06 / $15,656.06 / $22,887.34
| Facility | | $248.06 | $15,656.06 | $22,887.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,434.00 / $27,071.82 / $31,816.17
| Facility | | $19,434.00 | $27,071.82 | $31,816.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,539.18 / $28,876.05 / $36,400.61
| Facility | | $17,539.18 | $28,876.05 | $36,400.61 |