- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,530.60 / $37,990.50 / $44,430.00
| Facility | | $24,530.60 | $37,990.50 | $44,430.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,401.73 / $38,453.56 / $54,237.92
| Facility | | $25,401.73 | $38,453.56 | $54,237.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,652.25 / $33,482.00 / $48,901.25
| Facility | | $22,652.25 | $33,482.00 | $48,901.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,832.00 / $33,986.00 / $44,484.00
| Facility | | $20,832.00 | $33,986.00 | $44,484.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $43,886.41 / $58,409.28
| Facility | | $5,274.00 | $43,886.41 | $58,409.28 |