- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,058.00 / $57,174.70 / $79,094.50
| Facility | | $17,058.00 | $57,174.70 | $79,094.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $26,555.94
| Facility | | $1,146.00 | $3,000.00 | $26,555.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,519.79 / $29,733.80 / $55,151.93
| Facility | | $21,519.79 | $29,733.80 | $55,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,519.79 / $29,733.80 / $55,151.93
| Facility | | $21,519.79 | $29,733.80 | $55,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $38,056.40 / $59,007.03
| Facility | | $5,419.00 | $38,056.40 | $59,007.03 |