- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,997.70 / $23,840.50 / $41,711.80
| Facility | | $17,997.70 | $23,840.50 | $41,711.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,269.30 / $16,491.00 / $19,224.32
| Facility | | $15,269.30 | $16,491.00 | $19,224.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $21,116.80 / $40,469.62
| Facility | | $5,939.30 | $21,116.80 | $40,469.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,084.00 / $22,872.94 / $37,241.33
| Facility | | $15,084.00 | $22,872.94 | $37,241.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $24,568.74 / $42,202.32
| Facility | | $3,496.00 | $24,568.74 | $42,202.32 |