- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,535.40 / $20,047.90 / $23,114.00
| Facility | | $16,535.40 | $20,047.90 | $23,114.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,515.60 / $27,970.35 / $35,040.26
| Facility | | $21,515.60 | $27,970.35 | $35,040.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,709.38 / $23,413.28 / $40,184.50
| Facility | | $14,709.38 | $23,413.28 | $40,184.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $22,784.32 / $35,381.12
| Facility | | $3,137.00 | $22,784.32 | $35,381.12 |