- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,314.50 / $74,793.39 / $103,468.00
| Facility | | $22,314.50 | $74,793.39 | $103,468.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $50,052.39
| Facility | | $1,146.00 | $3,000.00 | $50,052.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,151.21 / $38,896.40 / $72,147.24
| Facility | | $28,151.21 | $38,896.40 | $72,147.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,151.21 / $38,896.40 / $72,147.24
| Facility | | $28,151.21 | $38,896.40 | $72,147.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $49,783.65 / $77,190.32
| Facility | | $5,419.00 | $49,783.65 | $77,190.32 |