- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,804.70 / $27,347.30 / $35,598.40
| Facility | | $17,804.70 | $27,347.30 | $35,598.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,731.55 / $27,249.00 / $36,987.44
| Facility | | $15,731.55 | $27,249.00 | $36,987.44 |
- 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
- $13,562.00 / $22,068.00 / $32,642.00
| Facility | | $13,562.00 | $22,068.00 | $32,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $33,732.58
| Facility | | $6,098.00 | $18,764.00 | $33,732.58 |