- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,041.50 / $100,693.00 / $139,296.00
| Facility | | $30,041.50 | $100,693.00 | $139,296.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $27,307.85
| Facility | | $1,146.00 | $3,000.00 | $27,307.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,899.33 / $52,365.34 / $97,130.18
| Facility | | $37,899.33 | $52,365.34 | $97,130.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,899.33 / $52,365.34 / $97,130.18
| Facility | | $37,899.33 | $52,365.34 | $97,130.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $67,022.59 / $103,919.56
| Facility | | $5,419.00 | $67,022.59 | $103,919.56 |