- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,844.00 / $26,074.10 / $29,507.00
| Facility | | $16,844.00 | $26,074.10 | $29,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,301.02 / $24,654.82 / $33,909.51
| Facility | | $16,301.02 | $24,654.82 | $33,909.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,554.18 / $24,218.46 / $34,480.00
| Facility | | $15,554.18 | $24,218.46 | $34,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,546.00 / $24,606.00 / $31,190.00
| Facility | | $15,546.00 | $24,606.00 | $31,190.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $30,134.62 / $40,106.75
| Facility | | $5,274.00 | $30,134.62 | $40,106.75 |