- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,556.50 / $26,966.10 / $35,102.19
| Facility | | $17,556.50 | $26,966.10 | $35,102.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,512.25 / $26,926.00 / $36,471.83
| Facility | | $15,512.25 | $26,926.00 | $36,471.83 |
- 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
- $12,515.00 / $18,515.00 / $27,482.00
| Facility | | $12,515.00 | $18,515.00 | $27,482.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,055.00 / $17,881.00 / $33,262.35
| Facility | | $6,055.00 | $17,881.00 | $33,262.35 |