- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,430.09 / $27,085.70 / $41,818.00
| Facility | | $18,430.09 | $27,085.70 | $41,818.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,442.55 / $41,856.98 / $53,662.80
| Facility | | $29,442.55 | $41,856.98 | $53,662.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,742.39 / $40,103.47 / $48,044.77
| Facility | | $20,742.39 | $40,103.47 | $48,044.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,430.09 / $27,704.00 / $44,299.90
| Facility | | $18,430.09 | $27,704.00 | $44,299.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,553.76 / $36,857.19 / $55,996.78
| Facility | | $21,553.76 | $36,857.19 | $55,996.78 |