- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,964.40 / $36,808.40 / $47,914.10
| Facility | | $23,964.40 | $36,808.40 | $47,914.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,174.06 / $36,754.00 / $49,783.66
| Facility | | $21,174.06 | $36,754.00 | $49,783.66 |
- 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
- $19,006.00 / $27,475.00 / $43,751.00
| Facility | | $19,006.00 | $27,475.00 | $43,751.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $45,402.77
| Facility | | $6,098.00 | $19,347.00 | $45,402.77 |