- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,103.50 / $60,679.00 / $83,942.30
| Facility | | $18,103.50 | $60,679.00 | $83,942.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $21,165.20
| Facility | | $1,146.00 | $3,000.00 | $21,165.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,838.76 / $31,556.21 / $58,532.24
| Facility | | $22,838.76 | $31,556.21 | $58,532.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,838.76 / $32,586.30 / $58,532.24
| Facility | | $22,838.76 | $32,586.30 | $58,532.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $40,388.91 / $62,623.63
| Facility | | $5,419.00 | $40,388.91 | $62,623.63 |