- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,211.80 / $44,817.30 / $66,941.50
| Facility | | $20,211.80 | $44,817.30 | $66,941.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $20,424.91
| Facility | | $1,146.00 | $3,000.00 | $20,424.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,213.23 / $25,165.13 / $46,677.71
| Facility | | $18,213.23 | $25,165.13 | $46,677.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,213.23 / $25,986.60 / $46,677.71
| Facility | | $18,213.23 | $25,986.60 | $46,677.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $30,616.00 / $49,940.47
| Facility | | $5,419.00 | $30,616.00 | $49,940.47 |