- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,087.50 / $21,310.20 / $37,284.69
| Facility | | $16,087.50 | $21,310.20 | $37,284.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,874.50 / $17,065.33 / $27,948.13
| Facility | | $16,874.50 | $17,065.33 | $27,948.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,088.71 / $36,242.44
| Facility | | $5,939.30 | $18,088.71 | $36,242.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,879.06 / $21,189.00 / $33,288.75
| Facility | | $13,879.06 | $21,189.00 | $33,288.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $23,573.82 / $37,723.22
| Facility | | $3,496.00 | $23,573.82 | $37,723.22 |