- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,865.20 / $36,655.90 / $47,715.60
| Facility | | $23,865.20 | $36,655.90 | $47,715.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,086.34 / $36,602.00 / $49,577.42
| Facility | | $21,086.34 | $36,602.00 | $49,577.42 |
- 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
- $15,461.00 / $24,522.00 / $39,622.00
| Facility | | $15,461.00 | $24,522.00 | $39,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $45,214.67
| Facility | | $6,098.00 | $18,764.00 | $45,214.67 |