- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,210.00 / $33,613.30 / $55,806.10
| Facility | | $21,210.00 | $33,613.30 | $55,806.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,430.75 / $27,610.35 / $46,772.50
| Facility | | $18,430.75 | $27,610.35 | $46,772.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,635.00 / $35,852.47 / $51,551.48
| Facility | | $28,635.00 | $35,852.47 | $51,551.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,322.50 / $34,440.39 / $82,415.00
| Facility | | $17,322.50 | $34,440.39 | $82,415.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,322.50 / $34,365.47 / $48,298.97
| Facility | | $17,322.50 | $34,365.47 | $48,298.97 |