- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,699.50 / $25,649.70 / $33,388.69
| Facility | | $16,699.50 | $25,649.70 | $33,388.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,755.02 / $25,612.00 / $34,691.44
| Facility | | $14,755.02 | $25,612.00 | $34,691.44 |
- 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
- $13,382.00 / $19,634.00 / $30,627.00
| Facility | | $13,382.00 | $19,634.00 | $30,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,065.00 / $31,638.65
| Facility | | $6,098.00 | $18,065.00 | $31,638.65 |