- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,580.20 / $30,821.50 / $41,360.00
| Facility | | $18,580.20 | $30,821.50 | $41,360.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,649.85 / $21,649.85 / $22,297.12
| Facility | | $21,649.85 | $21,649.85 | $22,297.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,590.55 / $26,101.01 / $40,358.40
| Facility | | $14,590.55 | $26,101.01 | $40,358.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,256.88 / $24,816.00 / $56,913.01
| Facility | | $15,256.88 | $24,816.00 | $56,913.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,114.03 / $24,445.41 / $34,629.90
| Facility | | $18,114.03 | $24,445.41 | $34,629.90 |