- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,705.50 / $49,289.70 / $68,186.50
| Facility | | $14,705.50 | $49,289.70 | $68,186.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $18,502.61
| Facility | | $1,146.00 | $3,000.00 | $18,502.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,551.96 / $25,633.16 / $47,545.82
| Facility | | $18,551.96 | $25,633.16 | $47,545.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,551.96 / $25,633.16 / $47,545.82
| Facility | | $18,551.96 | $25,633.16 | $47,545.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $32,807.97 / $50,869.27
| Facility | | $5,419.00 | $32,807.97 | $50,869.27 |