- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,563.20 / $30,653.90 / $44,790.00
| Facility | | $22,563.20 | $30,653.90 | $44,790.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,643.05 / $47,643.05 / $47,643.05
| Facility | | $47,643.05 | $47,643.05 | $47,643.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,316.00 / $27,216.21 / $40,770.22
| Facility | | $17,316.00 | $27,216.21 | $40,770.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,957.97 / $26,215.07 / $48,815.12
| Facility | | $18,957.97 | $26,215.07 | $48,815.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $280.52 / $459.30
| Facility | | $150.00 | $280.52 | $459.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,680.31 / $30,004.70 / $49,380.74
| Facility | | $21,680.31 | $30,004.70 | $49,380.74 |