- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,442.30 / $28,534.50 / $35,588.00
| Facility | | $17,442.30 | $28,534.50 | $35,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,416.73 / $26,365.74 / $37,188.31
| Facility | | $17,416.73 | $26,365.74 | $37,188.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,445.66 / $25,182.33 / $34,480.00
| Facility | | $15,445.66 | $25,182.33 | $34,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,047.00 / $27,258.18 / $34,254.00
| Facility | | $19,047.00 | $27,258.18 | $34,254.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,173.70 / $29,924.37 / $39,826.93
| Facility | | $6,173.70 | $29,924.37 | $39,826.93 |