- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,612.30 / $31,922.20 / $36,108.40
| Facility | | $20,612.30 | $31,922.20 | $36,108.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,166.45 / $30,528.31 / $41,957.66
| Facility | | $20,166.45 | $30,528.31 | $41,957.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $26,218.44 / $40,615.01
| Facility | | $16,339.00 | $26,218.44 | $40,615.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $26,557.00 / $38,241.00
| Facility | | $15,496.00 | $26,557.00 | $38,241.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $36,876.36 / $49,079.46
| Facility | | $5,274.00 | $36,876.36 | $49,079.46 |