- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,908.90 / $29,284.10 / $33,124.30
| Facility | | $18,908.90 | $29,284.10 | $33,124.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,661.74 / $28,250.46 / $39,846.66
| Facility | | $18,661.74 | $28,250.46 | $39,846.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,460.98 / $27,187.43 / $37,258.54
| Facility | | $17,460.98 | $27,187.43 | $37,258.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,900.00 / $25,651.00 / $35,081.00
| Facility | | $17,900.00 | $25,651.00 | $35,081.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $34,082.28 / $45,023.49
| Facility | | $5,274.00 | $34,082.28 | $45,023.49 |