- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,907.00 / $29,040.40 / $37,802.30
| Facility | | $18,907.00 | $29,040.40 | $37,802.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,705.50 / $28,998.00 / $39,277.35
| Facility | | $16,705.50 | $28,998.00 | $39,277.35 |
- 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
- $14,817.00 / $22,303.00 / $34,480.00
| Facility | | $14,817.00 | $22,303.00 | $34,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $18,764.00 / $35,821.00
| Facility | | $6,098.00 | $18,764.00 | $35,821.00 |