- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,143.00 / $28,824.00 / $41,814.40
| Facility | | $18,143.00 | $28,824.00 | $41,814.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,947.01 / $25,947.01 / $25,947.01
| Facility | | $25,947.01 | $25,947.01 | $25,947.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,319.47 / $21,221.00 / $39,598.71
| Facility | | $6,319.47 | $21,221.00 | $39,598.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,190.47 / $29,385.14 / $50,839.00
| Facility | | $16,190.47 | $29,385.14 | $50,839.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $25,000.00 / $42,306.09
| Facility | | $3,496.00 | $25,000.00 | $42,306.09 |