- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,478.00 / $38,471.80 / $53,221.20
| Facility | | $11,478.00 | $38,471.80 | $53,221.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,966.32
| Facility | | $1,146.00 | $3,000.00 | $12,966.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,480.25 / $20,007.30 / $37,110.67
| Facility | | $14,480.25 | $20,007.30 | $37,110.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,480.25 / $20,660.40 / $37,110.67
| Facility | | $14,480.25 | $20,660.40 | $37,110.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $25,607.42 / $39,704.69
| Facility | | $5,419.00 | $25,607.42 | $39,704.69 |