- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,556.30 / $31,835.50 / $36,010.30
| Facility | | $20,556.30 | $31,835.50 | $36,010.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,336.99 / $30,786.47 / $42,312.47
| Facility | | $20,336.99 | $30,786.47 | $42,312.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $26,147.26 / $40,504.75
| Facility | | $16,339.00 | $26,147.26 | $40,504.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $25,508.00 / $38,064.00
| Facility | | $15,496.00 | $25,508.00 | $38,064.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $36,776.24 / $48,946.22
| Facility | | $5,274.00 | $36,776.24 | $48,946.22 |