- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,474.50 / $38,460.00 / $53,205.00
| Facility | | $11,474.50 | $38,460.00 | $53,205.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,703.84
| Facility | | $1,146.00 | $3,000.00 | $11,703.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,475.84 / $20,001.20 / $37,099.35
| Facility | | $14,475.84 | $20,001.20 | $37,099.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,475.84 / $20,001.20 / $37,099.35
| Facility | | $14,475.84 | $20,001.20 | $37,099.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $25,599.61 / $39,692.58
| Facility | | $5,419.00 | $25,599.61 | $39,692.58 |