- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,782.00 / $41,410.19 / $52,615.40
| Facility | | $24,782.00 | $41,410.19 | $52,615.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,455.73 / $43,076.76 / $60,758.84
| Facility | | $28,455.73 | $43,076.76 | $60,758.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,825.53 / $36,950.96 / $57,910.43
| Facility | | $26,825.53 | $36,950.96 | $57,910.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,500.00 / $42,231.00 / $53,895.00
| Facility | | $27,500.00 | $42,231.00 | $53,895.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,245.00 / $37,187.00 / $69,004.03
| Facility | | $7,245.00 | $37,187.00 | $69,004.03 |