- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,305.30 / $25,044.20 / $32,600.50
| Facility | | $16,305.30 | $25,044.20 | $32,600.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,406.72 / $25,007.00 / $33,872.54
| Facility | | $14,406.72 | $25,007.00 | $33,872.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,918.00 / $19,918.00 / $19,918.00
| Facility | | $19,918.00 | $19,918.00 | $19,918.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,596.00 / $21,563.00 / $34,925.00
| Facility | | $13,596.00 | $21,563.00 | $34,925.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,181.04 / $30,891.80
| Facility | | $6,098.00 | $19,181.04 | $30,891.80 |