- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,458.50 / $55,165.30 / $76,314.80
| Facility | | $16,458.50 | $55,165.30 | $76,314.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $40,702.64
| Facility | | $1,146.00 | $3,000.00 | $40,702.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,763.48 / $28,688.81 / $53,213.62
| Facility | | $20,763.48 | $28,688.81 | $53,213.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,763.48 / $28,688.81 / $53,213.62
| Facility | | $20,763.48 | $28,688.81 | $53,213.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $36,718.91 / $56,933.24
| Facility | | $5,419.00 | $36,718.91 | $56,933.24 |