- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,986.00 / $40,174.50 / $55,576.70
| Facility | | $11,986.00 | $40,174.50 | $55,576.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $18,649.08
| Facility | | $1,146.00 | $3,000.00 | $18,649.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,121.13 / $20,892.80 / $38,753.14
| Facility | | $15,121.13 | $20,892.80 | $38,753.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,121.13 / $21,574.80 / $38,753.14
| Facility | | $15,121.13 | $21,574.80 | $38,753.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $26,740.77 / $41,461.97
| Facility | | $5,419.00 | $26,740.77 | $41,461.97 |