- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,296.00 / $41,213.50 / $57,014.10
| Facility | | $12,296.00 | $41,213.50 | $57,014.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,030.49
| Facility | | $1,146.00 | $3,000.00 | $13,030.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,512.22 / $21,433.16 / $39,755.43
| Facility | | $15,512.22 | $21,433.16 | $39,755.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,512.22 / $21,433.16 / $39,755.43
| Facility | | $15,512.22 | $21,433.16 | $39,755.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $27,432.38 / $42,534.32
| Facility | | $5,419.00 | $27,432.38 | $42,534.32 |