- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,062.20 / $26,412.00 / $29,889.30
| Facility | | $17,062.20 | $26,412.00 | $29,889.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,769.15 / $25,385.42 / $35,805.58
| Facility | | $16,769.15 | $25,385.42 | $35,805.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,755.71 / $24,312.73 / $34,480.00
| Facility | | $15,755.71 | $24,312.73 | $34,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,032.00 / $24,211.00 / $31,594.00
| Facility | | $16,032.00 | $24,211.00 | $31,594.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,958.00 / $24,643.54 / $40,528.83
| Facility | | $4,958.00 | $24,643.54 | $40,528.83 |