- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,964.00 / $73,618.60 / $101,843.00
| Facility | | $21,964.00 | $73,618.60 | $101,843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $28,063.48
| Facility | | $1,146.00 | $3,000.00 | $28,063.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,709.04 / $38,285.44 / $71,014.00
| Facility | | $27,709.04 | $38,285.44 | $71,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,709.04 / $38,285.44 / $71,014.00
| Facility | | $27,709.04 | $38,285.44 | $71,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $49,001.68 / $75,977.87
| Facility | | $5,419.00 | $49,001.68 | $75,977.87 |