- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,724.00 / $39,602.60 / $51,551.30
| Facility | | $24,724.00 | $39,602.60 | $51,551.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,781.40 / $39,544.00 / $53,562.78
| Facility | | $22,781.40 | $39,544.00 | $53,562.78 |
- 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
- $19,572.00 / $28,465.00 / $45,074.00
| Facility | | $19,572.00 | $28,465.00 | $45,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,908.00 / $17,881.00 / $47,512.46
| Facility | | $4,908.00 | $17,881.00 | $47,512.46 |