- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,055.50 / $35,706.00 / $40,388.40
| Facility | | $23,055.50 | $35,706.00 | $40,388.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,481.07 / $37,059.85 / $50,934.51
| Facility | | $24,481.07 | $37,059.85 | $50,934.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $29,326.16 / $45,960.66
| Facility | | $16,339.00 | $29,326.16 | $45,960.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,393.45 / $28,120.00 / $42,774.00
| Facility | | $15,393.45 | $28,120.00 | $42,774.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $41,247.37 / $54,896.94
| Facility | | $5,274.00 | $41,247.37 | $54,896.94 |