- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,412.00 / $35,159.90 / $56,261.00
| Facility | | $25,412.00 | $35,159.90 | $56,261.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,941.16 / $31,759.42 / $47,584.60
| Facility | | $19,941.16 | $31,759.42 | $47,584.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,846.79 / $30,622.16 / $57,404.00
| Facility | | $22,846.79 | $30,622.16 | $57,404.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $172.21 / $327.39 / $536.07
| Facility | | $172.21 | $327.39 | $536.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,303.68 / $35,805.75 / $51,827.20
| Facility | | $25,303.68 | $35,805.75 | $51,827.20 |