- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,656.30 / $34,799.10 / $45,298.60
| Facility | | $22,656.30 | $34,799.10 | $45,298.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,018.22 / $34,748.00 / $47,066.09
| Facility | | $20,018.22 | $34,748.00 | $47,066.09 |
- 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
- $18,107.00 / $26,463.00 / $42,166.00
| Facility | | $18,107.00 | $26,463.00 | $42,166.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,908.00 / $19,203.00 / $40,225.76
| Facility | | $4,908.00 | $19,203.00 | $40,225.76 |