- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,124.00 / $27,124.00 / $32,147.30
| Facility | | $27,124.00 | $27,124.00 | $32,147.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,548.47 / $33,433.46 / $50,014.42
| Facility | | $20,548.47 | $33,433.46 | $50,014.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,184.12 / $27,457.54 / $46,715.83
| Facility | | $22,184.12 | $27,457.54 | $46,715.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,847.75 / $31,845.77 / $52,126.93
| Facility | | $19,847.75 | $31,845.77 | $52,126.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.27 / $19,077.63 / $27,257.34
| Facility | | $302.27 | $19,077.63 | $27,257.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,585.77 / $31,462.26 / $36,976.05
| Facility | | $22,585.77 | $31,462.26 | $36,976.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,383.65 / $33,559.10 / $42,303.98
| Facility | | $20,383.65 | $33,559.10 | $42,303.98 |