- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,965.70 / $28,965.70 / $28,965.70
| Facility | | $28,965.70 | $28,965.70 | $28,965.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,264.48 / $23,049.34 / $23,049.34
| Facility | | $22,264.48 | $23,049.34 | $23,049.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,596.00 / $19,158.00 / $37,370.46
| Facility | | $13,596.00 | $19,158.00 | $37,370.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.00 / $950.00 / $950.00
| Facility | | $950.00 | $950.00 | $950.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,596.00 / $19,158.00 / $35,180.68
| Facility | | $13,596.00 | $19,158.00 | $35,180.68 |