- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,796.00 / $59,648.30 / $82,516.50
| Facility | | $17,796.00 | $59,648.30 | $82,516.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $21,334.92
| Facility | | $1,146.00 | $3,000.00 | $21,334.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,450.83 / $31,020.21 / $57,538.03
| Facility | | $22,450.83 | $31,020.21 | $57,538.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,450.83 / $32,032.80 / $57,538.03
| Facility | | $22,450.83 | $32,032.80 | $57,538.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $39,702.87 / $61,559.92
| Facility | | $5,419.00 | $39,702.87 | $61,559.92 |