- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,737.00 / $22,170.50 / $38,790.00
| Facility | | $16,737.00 | $22,170.50 | $38,790.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,342.79 / $27,797.00 / $29,364.84
| Facility | | $18,342.79 | $27,797.00 | $29,364.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,134.68 / $38,955.46
| Facility | | $5,939.30 | $20,134.68 | $38,955.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,439.38 / $21,273.56 / $34,632.68
| Facility | | $14,439.38 | $21,273.56 | $34,632.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $22,847.77 / $39,246.17
| Facility | | $3,496.00 | $22,847.77 | $39,246.17 |