- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,171.00 / $27,779.50 / $46,447.00
| Facility | | $11,171.00 | $27,779.50 | $46,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,920.00 / $16,333.63 / $34,851.51
| Facility | | $2,920.00 | $16,333.63 | $34,851.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,659.24 / $17,356.86 / $28,538.76
| Facility | | $11,659.24 | $17,356.86 | $28,538.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,047.56 / $17,187.56 / $23,732.93
| Facility | | $10,047.56 | $17,187.56 | $23,732.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,510.00 / $35,510.00 / $41,674.00
| Facility | | $35,510.00 | $35,510.00 | $41,674.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $17,730.61 / $23,211.70
| Facility | | $2,520.00 | $17,730.61 | $23,211.70 |