- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,859.10 / $33,574.69 / $43,704.80
| Facility | | $21,859.10 | $33,574.69 | $43,704.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,313.88 / $33,525.00 / $45,410.08
| Facility | | $19,313.88 | $33,525.00 | $45,410.08 |
- 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
- $16,682.00 / $26,893.00 / $41,700.00
| Facility | | $16,682.00 | $26,893.00 | $41,700.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $41,414.05
| Facility | | $6,098.00 | $19,347.00 | $41,414.05 |