- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,194.30 / $35,557.10 / $54,897.00
| Facility | | $24,194.30 | $35,557.10 | $54,897.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,254.80 / $45,855.01 / $58,788.48
| Facility | | $32,254.80 | $45,855.01 | $58,788.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,229.81 / $48,019.52 / $63,071.30
| Facility | | $27,229.81 | $48,019.52 | $63,071.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,194.30 / $36,368.69 / $58,155.20
| Facility | | $24,194.30 | $36,368.69 | $58,155.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,294.93 / $48,384.68 / $73,510.39
| Facility | | $28,294.93 | $48,384.68 | $73,510.39 |