- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,854.50 / $59,844.40 / $82,787.70
| Facility | | $17,854.50 | $59,844.40 | $82,787.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $21,904.08
| Facility | | $1,146.00 | $3,000.00 | $21,904.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,524.63 / $31,122.18 / $57,727.17
| Facility | | $22,524.63 | $31,122.18 | $57,727.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,524.63 / $32,138.10 / $57,727.17
| Facility | | $22,524.63 | $32,138.10 | $57,727.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $39,833.39 / $61,762.29
| Facility | | $5,419.00 | $39,833.39 | $61,762.29 |