- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,516.00 / $28,675.70 / $32,436.20
| Facility | | $18,516.00 | $28,675.70 | $32,436.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,735.31 / $28,361.82 / $38,980.07
| Facility | | $18,735.31 | $28,361.82 | $38,980.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $23,552.04 / $36,484.48
| Facility | | $16,339.00 | $23,552.04 | $36,484.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $23,293.00 / $34,352.00
| Facility | | $15,496.00 | $23,293.00 | $34,352.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $33,126.05 / $44,088.11
| Facility | | $5,274.00 | $33,126.05 | $44,088.11 |