- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,464.50 / $71,944.39 / $99,526.60
| Facility | | $21,464.50 | $71,944.39 | $99,526.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $23,945.44
| Facility | | $1,146.00 | $3,000.00 | $23,945.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,078.88 / $37,414.76 / $69,399.02
| Facility | | $27,078.88 | $37,414.76 | $69,399.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,078.88 / $37,414.76 / $69,399.02
| Facility | | $27,078.88 | $37,414.76 | $69,399.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $47,887.30 / $74,250.00
| Facility | | $5,419.00 | $47,887.30 | $74,250.00 |