- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,563.90 / $28,513.40 / $37,116.40
| Facility | | $18,563.90 | $28,513.40 | $37,116.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,402.34 / $28,471.00 / $38,564.60
| Facility | | $16,402.34 | $28,471.00 | $38,564.60 |
- 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
- $14,487.00 / $20,942.00 / $32,650.00
| Facility | | $14,487.00 | $20,942.00 | $32,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $35,170.96
| Facility | | $6,098.00 | $18,764.00 | $35,170.96 |