- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,248.60 / $43,748.50 / $51,164.00
| Facility | | $28,248.60 | $43,748.50 | $51,164.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,054.48 / $42,469.34 / $59,902.08
| Facility | | $28,054.48 | $42,469.34 | $59,902.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,404.06 / $35,931.66 / $56,312.96
| Facility | | $25,404.06 | $35,931.66 | $56,312.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,375.00 / $42,906.00 / $54,372.00
| Facility | | $28,375.00 | $42,906.00 | $54,372.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $39,228.01 / $67,262.08
| Facility | | $5,274.00 | $39,228.01 | $67,262.08 |