- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,117.09 / $27,827.20 / $36,223.10
| Facility | | $18,117.09 | $27,827.20 | $36,223.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,007.61 / $27,727.00 / $37,636.50
| Facility | | $16,007.61 | $27,727.00 | $37,636.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,425.00 / $18,538.00 / $29,204.00
| Facility | | $12,425.00 | $18,538.00 | $29,204.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,909.00 / $13,130.04 / $33,385.17
| Facility | | $6,909.00 | $13,130.04 | $33,385.17 |