- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,504.00 / $32,073.30 / $39,501.00
| Facility | | $26,504.00 | $32,073.30 | $39,501.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,941.55 / $28,329.20 / $28,819.97
| Facility | | $25,941.55 | $28,329.20 | $28,819.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,310.18 / $32,721.26 / $51,273.79
| Facility | | $25,310.18 | $32,721.26 | $51,273.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,025.65 / $41,348.23 / $54,568.52
| Facility | | $31,025.65 | $41,348.23 | $54,568.52 |