- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,912.20 / $29,289.30 / $33,130.19
| Facility | | $18,912.20 | $29,289.30 | $33,130.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,487.36 / $23,424.19 / $32,216.94
| Facility | | $15,487.36 | $23,424.19 | $32,216.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,464.08 / $27,192.26 / $34,835.00
| Facility | | $17,464.08 | $27,192.26 | $34,835.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,903.00 / $25,176.00 / $34,211.00
| Facility | | $17,903.00 | $25,176.00 | $34,211.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,008.00 / $26,262.87 / $44,923.33
| Facility | | $4,008.00 | $26,262.87 | $44,923.33 |