- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,210.50 / $35,071.40 / $51,261.40
| Facility | | $27,210.50 | $35,071.40 | $51,261.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,038.58 / $33,513.08 / $43,752.80
| Facility | | $23,038.58 | $33,513.08 | $43,752.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,604.31 / $34,445.24 / $48,012.70
| Facility | | $22,604.31 | $34,445.24 | $48,012.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,421.00 / $24,421.00 / $24,421.00
| Facility | | $24,421.00 | $24,421.00 | $24,421.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $34,134.37 / $43,024.00
| Facility | | $10,845.00 | $34,134.37 | $43,024.00 |