- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,065.00 / $31,074.60 / $35,149.60
| Facility | | $20,065.00 | $31,074.60 | $35,149.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,561.23 / $29,612.11 / $41,767.24
| Facility | | $19,561.23 | $29,612.11 | $41,767.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,516.04 / $28,600.00 / $39,536.62
| Facility | | $18,516.04 | $28,600.00 | $39,536.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,579.22 / $26,733.00 / $36,522.00
| Facility | | $15,579.22 | $26,733.00 | $36,522.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $20,975.76 / $47,661.59
| Facility | | $5,274.00 | $20,975.76 | $47,661.59 |