- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,004.20 / $23,414.00 / $32,636.70
| Facility | | $17,004.20 | $23,414.00 | $32,636.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,056.07 / $19,056.07 / $19,056.07
| Facility | | $19,056.07 | $19,056.07 | $19,056.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,550.81 / $29,468.26 / $48,599.41
| Facility | | $10,550.81 | $29,468.26 | $48,599.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,273.93 / $24,941.53 / $41,746.49
| Facility | | $17,273.93 | $24,941.53 | $41,746.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,388.97 / $27,835.08 / $40,641.49
| Facility | | $21,388.97 | $27,835.08 | $40,641.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,388.97 / $25,876.42 / $40,641.49
| Facility | | $21,388.97 | $25,876.42 | $40,641.49 |