- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,453.50 / $21,106.30 / $27,741.00
| Facility | | $14,453.50 | $21,106.30 | $27,741.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,374.40 / $20,083.28 / $33,968.17
| Facility | | $7,374.40 | $20,083.28 | $33,968.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,682.73 / $21,200.14 / $35,484.25
| Facility | | $14,682.73 | $21,200.14 | $35,484.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,180.48 / $23,659.64 / $34,545.00
| Facility | | $18,180.48 | $23,659.64 | $34,545.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,180.48 / $21,994.79 / $34,545.00
| Facility | | $18,180.48 | $21,994.79 | $34,545.00 |