- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,320.00 / $26,602.80 / $34,629.30
| Facility | | $17,320.00 | $26,602.80 | $34,629.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,303.27 / $26,564.00 / $35,980.48
| Facility | | $15,303.27 | $26,564.00 | $35,980.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,117.00 / $18,676.00 / $29,310.00
| Facility | | $12,117.00 | $18,676.00 | $29,310.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,405.43 / $32,814.24
| Facility | | $6,098.00 | $18,405.43 | $32,814.24 |