- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,546.00 / $52,106.80 / $72,083.70
| Facility | | $15,546.00 | $52,106.80 | $72,083.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $28,486.16
| Facility | | $1,146.00 | $3,000.00 | $28,486.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,612.31 / $27,098.23 / $50,263.33
| Facility | | $19,612.31 | $27,098.23 | $50,263.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,612.31 / $27,190.60 / $50,263.33
| Facility | | $19,612.31 | $27,190.60 | $50,263.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $34,683.12 / $53,776.72
| Facility | | $5,419.00 | $34,683.12 | $53,776.72 |