- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,750.40 / $22,743.90 / $29,491.70
| Facility | | $14,750.40 | $22,743.90 | $29,491.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,598.05 / $61,598.05 / $61,598.05
| Facility | | $61,598.05 | $61,598.05 | $61,598.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,032.87 / $22,574.00 / $30,642.40
| Facility | | $13,032.87 | $22,574.00 | $30,642.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,788.00 / $16,866.00 / $26,539.00
| Facility | | $11,788.00 | $16,866.00 | $26,539.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $27,945.91
| Facility | | $6,098.00 | $18,065.00 | $27,945.91 |