- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,240.50 / $32,842.80 / $53,383.40
| Facility | | $19,240.50 | $32,842.80 | $53,383.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.00 / $11,258.00 / $11,258.00
| Facility | | $11,258.00 | $11,258.00 | $11,258.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,498.63 / $26,095.25 / $41,167.78
| Facility | | $16,498.63 | $26,095.25 | $41,167.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,156.90 / $20,293.00 / $41,519.18
| Facility | | $10,156.90 | $20,293.00 | $41,519.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $27,255.04 / $37,489.86
| Facility | | $6,842.00 | $27,255.04 | $37,489.86 |