- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,754.10 / $34,949.40 / $45,494.20
| Facility | | $22,754.10 | $34,949.40 | $45,494.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,104.65 / $34,898.00 / $47,269.31
| Facility | | $20,104.65 | $34,898.00 | $47,269.31 |
- 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
- $17,662.00 / $25,532.00 / $39,994.00
| Facility | | $17,662.00 | $25,532.00 | $39,994.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $43,109.67
| Facility | | $6,098.00 | $18,764.00 | $43,109.67 |