- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,218.80 / $54,811.20 / $71,348.60
| Facility | | $34,218.80 | $54,811.20 | $71,348.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,530.18 / $54,731.00 / $74,132.59
| Facility | | $31,530.18 | $54,731.00 | $74,132.59 |
- 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
- $27,717.00 / $42,172.00 / $66,875.00
| Facility | | $27,717.00 | $42,172.00 | $66,875.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $67,609.02
| Facility | | $6,098.00 | $19,347.00 | $67,609.02 |