- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,940.40 / $26,019.70 / $33,870.30
| Facility | | $16,940.40 | $26,019.70 | $33,870.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,183.27 / $80,183.27 / $80,183.27
| Facility | | $80,183.27 | $80,183.27 | $80,183.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,967.87 / $25,981.00 / $35,191.90
| Facility | | $14,967.87 | $25,981.00 | $35,191.90 |
- 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
- $12,504.00 / $18,735.00 / $28,848.00
| Facility | | $12,504.00 | $18,735.00 | $28,848.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $32,095.06
| Facility | | $6,098.00 | $18,065.00 | $32,095.06 |