- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $45,353.00 / $62,740.50
| Facility | | $13,531.00 | $45,353.00 | $62,740.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $19,552.12
| Facility | | $1,146.00 | $3,000.00 | $19,552.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,070.25 / $23,585.89 / $43,748.43
| Facility | | $17,070.25 | $23,585.89 | $43,748.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,070.25 / $24,355.80 / $43,748.43
| Facility | | $17,070.25 | $24,355.80 | $43,748.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $30,187.66 / $46,806.44
| Facility | | $5,419.00 | $30,187.66 | $46,806.44 |