- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,741.00 / $38,298.60 / $43,341.00
| Facility | | $24,741.00 | $38,298.60 | $43,341.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,917.08 / $36,206.08 / $49,761.10
| Facility | | $23,917.08 | $36,206.08 | $49,761.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,435.81 / $31,470.10 / $49,320.70
| Facility | | $16,435.81 | $31,470.10 | $49,320.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $28,236.00 / $43,781.00
| Facility | | $15,496.00 | $28,236.00 | $43,781.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $44,262.84 / $58,910.28
| Facility | | $5,274.00 | $44,262.84 | $58,910.28 |