- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,001.00 / $33,521.19 / $46,372.60
| Facility | | $10,001.00 | $33,521.19 | $46,372.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,557.87
| Facility | | $1,146.00 | $3,000.00 | $9,557.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,616.92 / $17,432.74 / $32,335.23
| Facility | | $12,616.92 | $17,432.74 | $32,335.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,616.92 / $17,432.74 / $32,335.23
| Facility | | $12,616.92 | $17,432.74 | $32,335.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $22,312.23 / $34,595.46
| Facility | | $5,419.00 | $22,312.23 | $34,595.46 |