- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,660.20 / $27,125.30 / $35,309.40
| Facility | | $17,660.20 | $27,125.30 | $35,309.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,603.84 / $27,085.00 / $36,687.17
| Facility | | $15,603.84 | $27,085.00 | $36,687.17 |
- 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
- $13,956.00 / $20,310.00 / $31,780.00
| Facility | | $13,956.00 | $20,310.00 | $31,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $33,458.75
| Facility | | $6,098.00 | $18,764.00 | $33,458.75 |