- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,552.29 / $33,662.30 / $55,887.40
| Facility | | $22,552.29 | $33,662.30 | $55,887.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,374.67 / $30,822.94 / $45,485.16
| Facility | | $22,374.67 | $30,822.94 | $45,485.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,769.02 / $31,113.21 / $52,706.43
| Facility | | $20,769.02 | $31,113.21 | $52,706.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,285.00 / $35,904.73 / $51,411.20
| Facility | | $28,285.00 | $35,904.73 | $51,411.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,347.75 / $36,046.14 / $92,870.82
| Facility | | $17,347.75 | $36,046.14 | $92,870.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,347.75 / $34,415.55 / $48,369.36
| Facility | | $17,347.75 | $34,415.55 | $48,369.36 |