- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,260.09 / $26,510.80 / $34,509.60
| Facility | | $17,260.09 | $26,510.80 | $34,509.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,250.38 / $26,472.00 / $35,856.12
| Facility | | $15,250.38 | $26,472.00 | $35,856.12 |
- 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
- $12,177.00 / $17,603.00 / $27,114.00
| Facility | | $12,177.00 | $17,603.00 | $27,114.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,341.83 / $32,700.83
| Facility | | $6,098.00 | $18,341.83 | $32,700.83 |