- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $22,387.21 / $28,840.32
| Facility | | $19,498.45 | $22,387.21 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $16,595.87 / $16,595.87
| Facility | | $16,595.87 | $16,595.87 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $22,908.68 / $39,810.72
| Facility | | $10,000.00 | $22,908.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $26,915.35 / $38,904.51
| Facility | | $20,892.96 | $26,915.35 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $24,547.09 / $41,686.94
| Facility | | $12,302.69 | $24,547.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $22,908.68 / $35,481.34
| Facility | | $14,791.08 | $22,908.68 | $35,481.34 |