- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,311.00 / $33,112.50 / $36,572.40
| Facility | | $27,311.00 | $33,112.50 | $36,572.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,934.12 / $32,934.12 / $32,934.12
| Facility | | $32,934.12 | $32,934.12 | $32,934.12 |
- 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
- $24,713.92 / $38,671.00 / $66,371.53
| Facility | | $24,713.92 | $38,671.00 | $66,371.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,121.00 / $37,632.18 / $57,487.09
| Facility | | $5,121.00 | $37,632.18 | $57,487.09 |