- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,824.00 / $53,038.60 / $73,372.70
| Facility | | $15,824.00 | $53,038.60 | $73,372.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,750.35
| Facility | | $1,146.00 | $3,000.00 | $11,750.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,963.02 / $27,582.81 / $51,162.16
| Facility | | $19,963.02 | $27,582.81 | $51,162.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,963.02 / $28,483.20 / $51,162.16
| Facility | | $19,963.02 | $28,483.20 | $51,162.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $35,303.33 / $54,738.38
| Facility | | $5,419.00 | $35,303.33 | $54,738.38 |