- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,273.00 / $57,895.40 / $80,091.39
| Facility | | $17,273.00 | $57,895.40 | $80,091.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $17,750.71
| Facility | | $1,146.00 | $3,000.00 | $17,750.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,791.03 / $30,108.57 / $55,847.06
| Facility | | $21,791.03 | $30,108.57 | $55,847.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,791.03 / $30,108.57 / $55,847.06
| Facility | | $21,791.03 | $30,108.57 | $55,847.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $38,536.06 / $59,750.76
| Facility | | $5,419.00 | $38,536.06 | $59,750.76 |