- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,230.90 / $26,466.00 / $34,451.19
| Facility | | $17,230.90 | $26,466.00 | $34,451.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,224.58 / $26,427.00 / $35,795.47
| Facility | | $15,224.58 | $26,427.00 | $35,795.47 |
- 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
- $13,311.00 / $19,562.00 / $31,601.00
| Facility | | $13,311.00 | $19,562.00 | $31,601.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,341.00 / $32,645.51
| Facility | | $6,098.00 | $19,341.00 | $32,645.51 |