- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,736.30 / $30,314.10 / $39,460.40
| Facility | | $19,736.30 | $30,314.10 | $39,460.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,438.22 / $30,205.00 / $41,000.08
| Facility | | $17,438.22 | $30,205.00 | $41,000.08 |
- 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
- $16,268.00 / $24,467.00 / $37,698.00
| Facility | | $16,268.00 | $24,467.00 | $37,698.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $37,392.14
| Facility | | $6,098.00 | $18,764.00 | $37,392.14 |