- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,921.50 / $21,728.50 / $25,051.70
| Facility | | $17,921.50 | $21,728.50 | $25,051.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,451.06 / $26,393.96 / $44,583.21
| Facility | | $21,451.06 | $26,393.96 | $44,583.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,942.46 / $25,376.00 / $43,553.15
| Facility | | $15,942.46 | $25,376.00 | $43,553.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $5,310.00 / $38,448.82
| Facility | | $2,156.00 | $5,310.00 | $38,448.82 |