- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $15,336.00 / $25,046.20
| Facility | | $6,303.00 | $15,336.00 | $25,046.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,255.25 / $27,857.93 / $37,379.32
| Facility | | $20,255.25 | $27,857.93 | $37,379.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.64 / $22,790.22 / $31,948.14
| Facility | | $16,595.64 | $22,790.22 | $31,948.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,448.00 / $25,311.09 / $31,909.01
| Facility | | $14,448.00 | $25,311.09 | $31,909.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,448.00 / $25,521.79 / $33,466.69
| Facility | | $14,448.00 | $25,521.79 | $33,466.69 |