- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,441.50 / $58,460.10 / $80,872.80
| Facility | | $17,441.50 | $58,460.10 | $80,872.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $18,361.25
| Facility | | $1,146.00 | $3,000.00 | $18,361.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,003.60 / $30,402.28 / $56,391.86
| Facility | | $22,003.60 | $30,402.28 | $56,391.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,003.60 / $30,402.28 / $56,391.86
| Facility | | $22,003.60 | $30,402.28 | $56,391.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $38,911.99 / $60,333.64
| Facility | | $5,419.00 | $38,911.99 | $60,333.64 |