- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,804.50 / $20,335.59 / $25,045.00
| Facility | | $16,804.50 | $20,335.59 | $25,045.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,447.87 / $17,961.73 / $18,272.89
| Facility | | $16,447.87 | $17,961.73 | $18,272.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,047.56 / $20,746.45 / $32,509.42
| Facility | | $16,047.56 | $20,746.45 | $32,509.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,671.37 / $26,216.26 / $34,598.40
| Facility | | $19,671.37 | $26,216.26 | $34,598.40 |