- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,422.00 / $26,417.70 / $37,404.60
| Facility | | $14,422.00 | $26,417.70 | $37,404.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,358.50 / $24,484.74 / $38,445.37
| Facility | | $15,358.50 | $24,484.74 | $38,445.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,994.54 / $23,764.07 / $42,280.06
| Facility | | $14,994.54 | $23,764.07 | $42,280.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $22,421.38 / $49,996.25
| Facility | | $7,117.00 | $22,421.38 | $49,996.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $21,932.92 / $46,151.44
| Facility | | $3,308.00 | $21,932.92 | $46,151.44 |