- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,561.50 / $48,807.00 / $67,518.80
| Facility | | $14,561.50 | $48,807.00 | $67,518.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $19,932.48
| Facility | | $1,146.00 | $3,000.00 | $19,932.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,231.00 / $25,382.15 / $47,080.24
| Facility | | $18,231.00 | $25,382.15 | $47,080.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,231.00 / $25,382.15 / $45,589.23
| Facility | | $18,231.00 | $25,382.15 | $45,589.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,687.81 / $37,379.37 / $50,371.14
| Facility | | $13,687.81 | $37,379.37 | $50,371.14 |