- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,039.60 / $24,636.10 / $32,069.20
| Facility | | $16,039.60 | $24,636.10 | $32,069.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,171.94 / $24,547.00 / $33,320.54
| Facility | | $14,171.94 | $24,547.00 | $33,320.54 |
- 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
- $11,663.00 / $17,536.00 / $27,551.00
| Facility | | $11,663.00 | $17,536.00 | $27,551.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $30,388.37
| Facility | | $6,098.00 | $18,065.00 | $30,388.37 |