- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,283.00 / $18,939.30 / $24,558.40
| Facility | | $12,283.00 | $18,939.30 | $24,558.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,852.77 / $18,838.00 / $25,516.63
| Facility | | $10,852.77 | $18,838.00 | $25,516.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,182.00 / $15,416.00 / $25,410.00
| Facility | | $9,182.00 | $15,416.00 | $25,410.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $23,271.20
| Facility | | $6,098.00 | $18,065.00 | $23,271.20 |