- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,519.70 / $26,041.60 / $32,072.40
| Facility | | $21,519.70 | $26,041.60 | $32,072.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,062.99 / $23,001.62 / $23,400.09
| Facility | | $21,062.99 | $23,001.62 | $23,400.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,550.34 / $26,567.70 / $41,631.24
| Facility | | $20,550.34 | $26,567.70 | $41,631.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,190.97 / $33,572.28 / $44,306.37
| Facility | | $25,190.97 | $33,572.28 | $44,306.37 |