- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,684.50 / $39,777.50 / $46,058.00
| Facility | | $25,684.50 | $39,777.50 | $46,058.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,179.01 / $36,602.58 / $50,306.06
| Facility | | $24,179.01 | $36,602.58 | $50,306.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,507.00 / $33,399.97 / $51,201.51
| Facility | | $16,507.00 | $33,399.97 | $51,201.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $30,068.00 / $45,329.00
| Facility | | $15,496.00 | $30,068.00 | $45,329.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $37,097.06 / $61,156.79
| Facility | | $5,274.00 | $37,097.06 | $61,156.79 |