- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,489.70 / $27,086.30 / $31,677.50
| Facility | | $17,489.70 | $27,086.30 | $31,677.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,017.50 / $27,275.20 / $37,486.62
| Facility | | $18,017.50 | $27,275.20 | $37,486.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,866.00 / $23,127.96 / $34,597.00
| Facility | | $15,866.00 | $23,127.96 | $34,597.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $26,216.00 / $33,664.00
| Facility | | $15,496.00 | $26,216.00 | $33,664.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $26,823.11 / $41,544.37
| Facility | | $5,274.00 | $26,823.11 | $41,544.37 |