- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,546.30 / $47,281.10 / $124,724.00
| Facility | | $36,546.30 | $47,281.10 | $124,724.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,205.50 / $20,205.50 / $22,624.39
| Facility | | $20,205.50 | $20,205.50 | $22,624.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,458.00 / $47,763.54 / $71,921.28
| Facility | | $13,458.00 | $47,763.54 | $71,921.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,128.13 / $49,596.89 / $71,727.00
| Facility | | $25,128.13 | $49,596.89 | $71,727.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,167.23 / $49,146.59 / $71,727.00
| Facility | | $24,167.23 | $49,146.59 | $71,727.00 |