- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,544.40 / $22,441.20 / $27,638.20
| Facility | | $18,544.40 | $22,441.20 | $27,638.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,150.90 / $19,821.50 / $20,164.88
| Facility | | $18,150.90 | $19,821.50 | $20,164.88 |
- 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
- $17,709.14 / $22,894.56 / $35,875.47
| Facility | | $17,709.14 | $22,894.56 | $35,875.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,708.16 / $28,930.71 / $38,180.75
| Facility | | $21,708.16 | $28,930.71 | $38,180.75 |