- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,797.59 / $30,408.30 / $39,583.00
| Facility | | $19,797.59 | $30,408.30 | $39,583.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,492.40 / $30,298.00 / $41,127.48
| Facility | | $17,492.40 | $30,298.00 | $41,127.48 |
- 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
- $13,900.00 / $22,145.00 / $33,801.00
| Facility | | $13,900.00 | $22,145.00 | $33,801.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,346.00 / $37,508.32
| Facility | | $6,098.00 | $19,346.00 | $37,508.32 |