- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,270.50 / $22,877.20 / $40,026.40
| Facility | | $17,270.50 | $22,877.20 | $40,026.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,405.00 / $19,405.00 / $24,304.02
| Facility | | $19,405.00 | $19,405.00 | $24,304.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,621.38 / $37,253.69
| Facility | | $5,939.30 | $18,621.38 | $37,253.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,307.00 / $21,948.72 / $35,736.53
| Facility | | $13,307.00 | $21,948.72 | $35,736.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $25,307.24 / $36,009.42
| Facility | | $3,496.00 | $25,307.24 | $36,009.42 |