- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,553.59 / $26,961.60 / $35,096.30
| Facility | | $17,553.59 | $26,961.60 | $35,096.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,509.67 / $26,922.00 / $36,465.76
| Facility | | $15,509.67 | $26,922.00 | $36,465.76 |
- 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
- $15,001.00 / $20,948.00 / $34,921.00
| Facility | | $15,001.00 | $20,948.00 | $34,921.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,341.00 / $33,256.82
| Facility | | $6,098.00 | $19,341.00 | $33,256.82 |