- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,919.00 / $53,357.10 / $73,813.20
| Facility | | $15,919.00 | $53,357.10 | $73,813.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $22,244.93
| Facility | | $1,146.00 | $3,000.00 | $22,244.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,082.87 / $27,748.41 / $51,469.31
| Facility | | $20,082.87 | $27,748.41 | $51,469.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,082.87 / $28,654.20 / $51,469.31
| Facility | | $20,082.87 | $28,654.20 | $51,469.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $35,515.29 / $55,067.00
| Facility | | $5,419.00 | $35,515.29 | $55,067.00 |