- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,487.00 / $45,205.50 / $62,536.50
| Facility | | $13,487.00 | $45,205.50 | $62,536.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $18,377.53
| Facility | | $1,146.00 | $3,000.00 | $18,377.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,014.74 / $23,509.19 / $43,606.17
| Facility | | $17,014.74 | $23,509.19 | $43,606.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,014.74 / $23,509.19 / $43,606.17
| Facility | | $17,014.74 | $23,509.19 | $43,606.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $30,089.50 / $46,654.23
| Facility | | $5,419.00 | $30,089.50 | $46,654.23 |