- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,950.00 / $27,885.40 / $45,266.70
| Facility | | $19,950.00 | $27,885.40 | $45,266.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,922.85 / $86,610.93 / $111,039.65
| Facility | | $60,922.85 | $86,610.93 | $111,039.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,453.02 / $43,784.18 / $54,639.40
| Facility | | $22,453.02 | $43,784.18 | $54,639.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,950.00 / $29,988.70 / $47,953.30
| Facility | | $19,950.00 | $29,988.70 | $47,953.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,331.29 / $39,896.80 / $60,614.84
| Facility | | $23,331.29 | $39,896.80 | $60,614.84 |