- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,323.00 / $37,887.00 / $49,318.20
| Facility | | $24,323.00 | $37,887.00 | $49,318.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,794.55 / $37,831.00 / $51,242.54
| Facility | | $21,794.55 | $37,831.00 | $51,242.54 |
- 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
- $17,784.00 / $27,795.00 / $45,520.00
| Facility | | $17,784.00 | $27,795.00 | $45,520.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $46,733.26
| Facility | | $6,098.00 | $19,347.00 | $46,733.26 |