- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,433.70 / $29,839.20 / $39,219.00
| Facility | | $20,433.70 | $29,839.20 | $39,219.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,023.58 / $24,574.62 / $41,564.66
| Facility | | $9,023.58 | $24,574.62 | $41,564.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,757.80 / $29,971.83 / $53,707.66
| Facility | | $20,757.80 | $29,971.83 | $53,707.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,702.77 / $33,448.96 / $48,838.20
| Facility | | $25,702.77 | $33,448.96 | $48,838.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,702.77 / $31,095.26 / $48,838.20
| Facility | | $25,702.77 | $31,095.26 | $48,838.20 |