- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,351.00 / $48,101.40 / $66,542.70
| Facility | | $14,351.00 | $48,101.40 | $66,542.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $31,429.61
| Facility | | $1,146.00 | $3,000.00 | $31,429.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,104.73 / $25,015.23 / $46,399.65
| Facility | | $18,104.73 | $25,015.23 | $46,399.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,104.73 / $25,015.23 / $46,399.65
| Facility | | $18,104.73 | $25,015.23 | $46,399.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.94 / $36,839.01 / $49,642.98
| Facility | | $13,489.94 | $36,839.01 | $49,642.98 |