- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,428.80 / $55,147.60 / $71,786.50
| Facility | | $34,428.80 | $55,147.60 | $71,786.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,723.68 / $55,066.00 / $74,587.53
| Facility | | $31,723.68 | $55,066.00 | $74,587.53 |
- 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
- $25,934.00 / $38,611.00 / $61,354.00
| Facility | | $25,934.00 | $38,611.00 | $61,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $68,023.92
| Facility | | $6,098.00 | $19,347.00 | $68,023.92 |