- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,781.50 / $59,599.70 / $82,449.30
| Facility | | $17,781.50 | $59,599.70 | $82,449.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $20,965.72
| Facility | | $1,146.00 | $3,000.00 | $20,965.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,432.54 / $30,994.93 / $57,491.15
| Facility | | $22,432.54 | $30,994.93 | $57,491.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,432.54 / $30,994.93 / $57,491.15
| Facility | | $22,432.54 | $30,994.93 | $57,491.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $39,670.53 / $61,509.76
| Facility | | $5,419.00 | $39,670.53 | $61,509.76 |