- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,533.00 / $24,533.00 / $29,076.40
| Facility | | $24,533.00 | $24,533.00 | $29,076.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,086.49 / $27,800.64 / $41,588.06
| Facility | | $17,086.49 | $27,800.64 | $41,588.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,064.96 / $24,834.64 / $42,253.26
| Facility | | $20,064.96 | $24,834.64 | $42,253.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,951.78 / $28,803.67 / $47,147.46
| Facility | | $17,951.78 | $28,803.67 | $47,147.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.35 / $15,863.46 / $24,058.26
| Facility | | $251.35 | $15,863.46 | $24,058.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,428.24 / $28,456.80 / $33,443.87
| Facility | | $20,428.24 | $28,456.80 | $33,443.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,436.48 / $30,353.34 / $38,262.86
| Facility | | $18,436.48 | $30,353.34 | $38,262.86 |