- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,250.00 / $35,250.00 / $40,507.42
| Facility | | $35,250.00 | $35,250.00 | $40,507.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $959.61 / $1,057.27 / $1,151.91
| Facility | | $959.61 | $1,057.27 | $1,151.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.43 / $1,039.43 / $1,039.43
| Facility | | $1,039.43 | $1,039.43 | $1,039.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,425.50 / $32,425.50 / $39,357.11
| Facility | | $32,425.50 | $32,425.50 | $39,357.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,522.00 / $3,522.00 / $3,522.00
| Facility | | $3,522.00 | $3,522.00 | $3,522.00 |