- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,743.50 / $28,789.20 / $37,475.40
| Facility | | $18,743.50 | $28,789.20 | $37,475.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,561.02 / $28,747.00 / $38,937.65
| Facility | | $16,561.02 | $28,747.00 | $38,937.65 |
- 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
- $15,274.00 / $23,490.00 / $35,871.00
| Facility | | $15,274.00 | $23,490.00 | $35,871.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $35,511.19
| Facility | | $6,098.00 | $18,764.00 | $35,511.19 |