- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,106.00 / $25,122.40 / $32,010.70
| Facility | | $16,106.00 | $25,122.40 | $32,010.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,029.75 / $27,293.76 / $37,512.14
| Facility | | $18,029.75 | $27,293.76 | $37,512.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $23,243.12 / $36,005.93
| Facility | | $16,339.00 | $23,243.12 | $36,005.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,128.00 / $21,836.00 / $33,836.00
| Facility | | $14,128.00 | $21,836.00 | $33,836.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $17,771.55 / $43,374.31
| Facility | | $5,274.00 | $17,771.55 | $43,374.31 |