- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,234.00 / $29,547.60 / $38,835.69
| Facility | | $20,234.00 | $29,547.60 | $38,835.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,289.86 / $20,289.86 / $22,987.03
| Facility | | $20,289.86 | $20,289.86 | $22,987.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,381.92 / $22,827.14 / $38,609.03
| Facility | | $8,381.92 | $22,827.14 | $38,609.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,554.91 / $29,678.89 / $49,675.76
| Facility | | $20,554.91 | $29,678.89 | $49,675.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,451.56 / $33,122.04 / $48,360.88
| Facility | | $25,451.56 | $33,122.04 | $48,360.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,451.56 / $30,791.35 / $48,360.88
| Facility | | $25,451.56 | $30,791.35 | $48,360.88 |