- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,625.80 / $37,363.30 / $54,948.00
| Facility | | $26,625.80 | $37,363.30 | $54,948.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,163.50 / $32,113.53 / $48,115.16
| Facility | | $20,163.50 | $32,113.53 | $48,115.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,227.61 / $32,580.75 / $58,040.00
| Facility | | $23,227.61 | $32,580.75 | $58,040.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.12 / $331.03 / $542.01
| Facility | | $174.12 | $331.03 | $542.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,584.03 / $35,407.30 / $58,272.16
| Facility | | $25,584.03 | $35,407.30 | $58,272.16 |