- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,650.00 / $41,640.60 / $61,368.00
| Facility | | $30,650.00 | $41,640.60 | $61,368.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,815.75 / $36,971.50 / $52,624.09
| Facility | | $22,815.75 | $36,971.50 | $52,624.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,738.16 / $36,913.62 / $66,812.00
| Facility | | $26,738.16 | $36,913.62 | $66,812.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $200.44 / $381.06 / $623.91
| Facility | | $200.44 | $381.06 | $623.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,450.73 / $40,758.66 / $67,079.25
| Facility | | $29,450.73 | $40,758.66 | $67,079.25 |