- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,981.80 / $33,487.00 / $68,054.39
| Facility | | $25,981.80 | $33,487.00 | $68,054.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,426.52 / $31,872.68 / $36,438.71
| Facility | | $25,426.52 | $31,872.68 | $36,438.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,739.00 / $36,710.21 / $47,743.22
| Facility | | $20,739.00 | $36,710.21 | $47,743.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,227.29 / $47,227.29 / $47,227.29
| Facility | | $47,227.29 | $47,227.29 | $47,227.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $33,356.44 / $46,894.80
| Facility | | $1,518.00 | $33,356.44 | $46,894.80 |