- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,219.30 / $34,262.50 / $50,804.00
| Facility | | $25,219.30 | $34,262.50 | $50,804.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,235.41 / $20,235.41 / $35,224.44
| Facility | | $20,235.41 | $20,235.41 | $35,224.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,100.43 / $30,425.93 / $45,110.71
| Facility | | $19,100.43 | $30,425.93 | $45,110.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,000.59 / $30,373.14 / $54,974.00
| Facility | | $22,000.59 | $30,373.14 | $54,974.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.92 / $313.54 / $513.37
| Facility | | $164.92 | $313.54 | $513.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,263.30 / $34,828.78 / $51,348.46
| Facility | | $25,263.30 | $34,828.78 | $51,348.46 |