- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,731.20 / $44,419.40 / $57,821.50
| Facility | | $27,731.20 | $44,419.40 | $57,821.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,552.32 / $44,354.00 / $60,077.66
| Facility | | $25,552.32 | $44,354.00 | $60,077.66 |
- 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
- $20,357.00 / $30,142.00 / $48,117.00
| Facility | | $20,357.00 | $30,142.00 | $48,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $54,790.91
| Facility | | $6,098.00 | $18,764.00 | $54,790.91 |