- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,743.50 / $46,065.20 / $63,725.90
| Facility | | $13,743.50 | $46,065.20 | $63,725.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $21,783.19
| Facility | | $1,146.00 | $3,000.00 | $21,783.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,338.33 / $23,956.29 / $44,435.48
| Facility | | $17,338.33 | $23,956.29 | $44,435.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,338.33 / $23,956.29 / $44,435.48
| Facility | | $17,338.33 | $23,956.29 | $44,435.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $31,074.05 / $48,926.86
| Facility | | $5,419.00 | $31,074.05 | $48,926.86 |