- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,887.00 / $53,249.80 / $73,664.80
| Facility | | $15,887.00 | $53,249.80 | $73,664.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $46,512.81
| Facility | | $1,146.00 | $3,000.00 | $46,512.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,042.50 / $27,692.63 / $51,365.85
| Facility | | $20,042.50 | $27,692.63 | $51,365.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,042.50 / $28,596.60 / $51,365.85
| Facility | | $20,042.50 | $28,596.60 | $51,365.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $35,443.90 / $54,956.31
| Facility | | $5,419.00 | $35,443.90 | $54,956.31 |