- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,328.00 / $36,798.80 / $48,164.50
| Facility | | $24,328.00 | $36,798.80 | $48,164.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,107.38 / $27,464.48 / $38,704.91
| Facility | | $27,107.38 | $27,464.48 | $38,704.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,936.50 / $31,945.41 / $48,397.99
| Facility | | $19,936.50 | $31,945.41 | $48,397.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,790.33 / $32,184.22 / $49,853.46
| Facility | | $20,790.33 | $32,184.22 | $49,853.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,921.84 / $30,930.39 / $47,178.62
| Facility | | $18,921.84 | $30,930.39 | $47,178.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $37,549.58 / $53,536.30
| Facility | | $10,403.00 | $37,549.58 | $53,536.30 |