- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,460.50 / $55,172.00 / $76,324.00
| Facility | | $16,460.50 | $55,172.00 | $76,324.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,021.83
| Facility | | $1,146.00 | $3,000.00 | $16,021.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,766.00 / $28,692.30 / $53,220.09
| Facility | | $20,766.00 | $28,692.30 | $53,220.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,766.00 / $29,320.40 / $53,220.09
| Facility | | $20,766.00 | $29,320.40 | $53,220.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $36,723.37 / $56,940.16
| Facility | | $5,419.00 | $36,723.37 | $56,940.16 |