- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,747.50 / $52,782.20 / $73,018.00
| Facility | | $15,747.50 | $52,782.20 | $73,018.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $25,477.15
| Facility | | $1,146.00 | $3,000.00 | $25,477.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,866.50 / $28,345.50 / $50,914.82
| Facility | | $19,866.50 | $28,345.50 | $50,914.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,866.50 / $28,345.50 / $49,302.37
| Facility | | $19,866.50 | $28,345.50 | $49,302.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $40,423.83 / $54,473.75
| Facility | | $5,419.00 | $40,423.83 | $54,473.75 |