- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,175.60 / $37,122.30 / $48,322.80
| Facility | | $23,175.60 | $37,122.30 | $48,322.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,592.10 / $54,592.10 / $54,592.10
| Facility | | $54,592.10 | $54,592.10 | $54,592.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,354.66 / $37,068.00 / $50,208.28
| Facility | | $21,354.66 | $37,068.00 | $50,208.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,192.00 / $16,192.00 / $16,192.00
| Facility | | $16,192.00 | $16,192.00 | $16,192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,331.00 / $25,777.00 / $40,973.00
| Facility | | $17,331.00 | $25,777.00 | $40,973.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $45,790.02
| Facility | | $6,098.00 | $19,347.00 | $45,790.02 |