- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,202.00 / $43,182.60 / $47,694.80
| Facility | | $21,202.00 | $43,182.60 | $47,694.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,726.36 / $34,726.36 / $34,726.36
| Facility | | $34,726.36 | $34,726.36 | $34,726.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,229.93 / $50,431.65 / $86,556.48
| Facility | | $32,229.93 | $50,431.65 | $86,556.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,121.00 / $49,076.90 / $74,970.09
| Facility | | $5,121.00 | $49,076.90 | $74,970.09 |