- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,669.10 / $42,580.70 / $57,140.00
| Facility | | $25,669.10 | $42,580.70 | $57,140.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,056.50 / $29,056.50 / $29,056.50
| Facility | | $29,056.50 | $29,056.50 | $29,056.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,615.91 / $36,227.60 / $57,965.55
| Facility | | $20,615.91 | $36,227.60 | $57,965.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,077.80 / $34,284.00 / $78,626.92
| Facility | | $21,077.80 | $34,284.00 | $78,626.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,025.03 / $33,646.32 / $48,431.86
| Facility | | $25,025.03 | $33,646.32 | $48,431.86 |