- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,428.00 / $38,304.19 / $52,989.30
| Facility | | $11,428.00 | $38,304.19 | $52,989.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $21,492.56
| Facility | | $1,146.00 | $3,000.00 | $21,492.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,417.18 / $19,920.15 / $36,949.01
| Facility | | $14,417.18 | $19,920.15 | $36,949.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,417.18 / $19,920.15 / $36,949.01
| Facility | | $14,417.18 | $19,920.15 | $36,949.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $25,495.87 / $39,531.74
| Facility | | $5,419.00 | $25,495.87 | $39,531.74 |