- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,014.70 / $31,481.20 / $38,771.69
| Facility | | $26,014.70 | $31,481.20 | $38,771.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,462.64 / $27,806.21 / $28,287.91
| Facility | | $25,462.64 | $27,806.21 | $28,287.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,842.92 / $32,117.18 / $50,327.20
| Facility | | $24,842.92 | $32,117.18 | $50,327.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,452.87 / $40,584.87 / $53,561.11
| Facility | | $30,452.87 | $40,584.87 | $53,561.11 |