- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,252.50 / $47,771.30 / $66,086.00
| Facility | | $14,252.50 | $47,771.30 | $66,086.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,420.34
| Facility | | $1,146.00 | $3,000.00 | $16,420.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,644.00 / $24,843.53 / $46,081.18
| Facility | | $17,644.00 | $24,843.53 | $46,081.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,644.00 / $24,408.52 / $44,621.81
| Facility | | $17,644.00 | $24,408.52 | $44,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $31,797.33 / $49,302.25
| Facility | | $5,419.00 | $31,797.33 | $49,302.25 |