- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,008.00 / $40,115.40 / $61,080.10
| Facility | | $30,008.00 | $40,115.40 | $61,080.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,819.62 / $38,598.19 / $57,831.04
| Facility | | $23,819.62 | $38,598.19 | $57,831.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,920.35 / $38,545.72 / $69,766.00
| Facility | | $27,920.35 | $38,545.72 | $69,766.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $209.30 / $397.91 / $651.51
| Facility | | $209.30 | $397.91 | $651.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,476.00 / $41,747.97 / $67,470.70
| Facility | | $23,476.00 | $41,747.97 | $67,470.70 |