- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,934.50 / $53,409.00 / $73,885.10
| Facility | | $15,934.50 | $53,409.00 | $73,885.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $22,602.51
| Facility | | $1,146.00 | $3,000.00 | $22,602.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,872.00 / $27,775.43 / $51,519.43
| Facility | | $15,872.00 | $27,775.43 | $51,519.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,872.00 / $27,775.43 / $49,887.83
| Facility | | $15,872.00 | $27,775.43 | $49,887.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $35,549.87 / $55,120.62
| Facility | | $5,419.00 | $35,549.87 | $55,120.62 |