- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,905.70 / $32,110.40 / $41,798.60
| Facility | | $20,905.70 | $32,110.40 | $41,798.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,471.50 / $32,063.00 / $43,429.53
| Facility | | $18,471.50 | $32,063.00 | $43,429.53 |
- 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
- $17,518.00 / $24,161.00 / $38,517.00
| Facility | | $17,518.00 | $24,161.00 | $38,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $39,607.79
| Facility | | $6,098.00 | $18,764.00 | $39,607.79 |