- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,300.00 / $44,578.70 / $61,669.40
| Facility | | $13,300.00 | $44,578.70 | $61,669.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $28,477.79
| Facility | | $1,146.00 | $3,000.00 | $28,477.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,778.83 / $23,183.23 / $43,001.56
| Facility | | $16,778.83 | $23,183.23 | $43,001.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,778.83 / $23,940.00 / $43,001.56
| Facility | | $16,778.83 | $23,940.00 | $43,001.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $29,672.30 / $46,007.36
| Facility | | $5,419.00 | $29,672.30 | $46,007.36 |