- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,955.80 / $41,176.60 / $68,292.60
| Facility | | $25,955.80 | $41,176.60 | $68,292.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,446.18 / $19,446.18 / $19,446.18
| Facility | | $19,446.18 | $19,446.18 | $19,446.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,134.00 / $35,300.11 / $60,454.78
| Facility | | $11,134.00 | $35,300.11 | $60,454.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,764.00 / $40,041.01 / $63,086.08
| Facility | | $10,764.00 | $40,041.01 | $63,086.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,900.00 / $43,109.16 / $61,413.00
| Facility | | $18,900.00 | $43,109.16 | $61,413.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,850.00 / $43,109.16 / $60,530.56
| Facility | | $17,850.00 | $43,109.16 | $60,530.56 |