- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,334.00 / $20,312.00 / $35,538.30
| Facility | | $15,334.00 | $20,312.00 | $35,538.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,981.62 / $16,981.62 / $16,981.62
| Facility | | $16,981.62 | $16,981.62 | $16,981.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.53 / $17,684.31 / $36,152.73
| Facility | | $5,707.53 | $17,684.31 | $36,152.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,134.00 / $19,487.68 / $31,729.50
| Facility | | $13,134.00 | $19,487.68 | $31,729.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $20,932.50 / $31,971.80
| Facility | | $3,496.00 | $20,932.50 | $31,971.80 |