- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,606.00 / $52,307.90 / $72,361.89
| Facility | | $15,606.00 | $52,307.90 | $72,361.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,641.10
| Facility | | $1,146.00 | $3,000.00 | $9,641.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,688.00 / $27,202.82 / $50,457.32
| Facility | | $19,688.00 | $27,202.82 | $50,457.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,688.00 / $28,090.80 / $50,457.32
| Facility | | $19,688.00 | $28,090.80 | $50,457.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $34,816.99 / $53,984.28
| Facility | | $5,419.00 | $34,816.99 | $53,984.28 |