- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,264.00 / $54,513.40 / $75,412.89
| Facility | | $16,264.00 | $54,513.40 | $75,412.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,709.09
| Facility | | $1,146.00 | $3,000.00 | $16,709.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,918.00 / $28,349.78 / $52,584.76
| Facility | | $10,918.00 | $28,349.78 | $52,584.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,918.00 / $28,349.78 / $50,919.43
| Facility | | $10,918.00 | $28,349.78 | $50,919.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $36,284.98 / $56,260.43
| Facility | | $5,419.00 | $36,284.98 | $56,260.43 |