- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,370.50 / $28,450.40 / $32,621.00
| Facility | | $18,370.50 | $28,450.40 | $32,621.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,446.83 / $26,411.30 / $37,252.57
| Facility | | $17,446.83 | $26,411.30 | $37,252.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,963.87 / $26,413.41 / $36,197.79
| Facility | | $16,963.87 | $26,413.41 | $36,197.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,391.00 / $25,871.00 / $34,082.00
| Facility | | $17,391.00 | $25,871.00 | $34,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $32,865.75 / $43,741.67
| Facility | | $5,274.00 | $32,865.75 | $43,741.67 |