- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,211.00 / $26,308.80 / $37,714.00
| Facility | | $16,211.00 | $26,308.80 | $37,714.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,923.27 / $19,923.27 / $19,923.27
| Facility | | $19,923.27 | $19,923.27 | $19,923.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,501.86 / $23,237.18 / $35,240.44
| Facility | | $14,501.86 | $23,237.18 | $35,240.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $20,814.03 / $35,632.50
| Facility | | $7,516.00 | $20,814.03 | $35,632.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $20,555.73 / $31,631.36
| Facility | | $7,516.00 | $20,555.73 | $31,631.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $25,171.89 / $38,707.60
| Facility | | $10,403.00 | $25,171.89 | $38,707.60 |