- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,022.20 / $27,859.90 / $34,311.69
| Facility | | $23,022.20 | $27,859.90 | $34,311.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,533.61 / $24,607.60 / $25,033.89
| Facility | | $22,533.61 | $24,607.60 | $25,033.89 |
- 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
- $21,985.18 / $28,422.67 / $44,537.96
| Facility | | $21,985.18 | $28,422.67 | $44,537.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,949.81 / $35,916.32 / $47,399.86
| Facility | | $26,949.81 | $35,916.32 | $47,399.86 |