- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,008.00 / $70,414.30 / $97,409.90
| Facility | | $21,008.00 | $70,414.30 | $97,409.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,242.03
| Facility | | $1,146.00 | $3,000.00 | $15,242.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,502.98 / $36,619.04 / $67,923.07
| Facility | | $26,502.98 | $36,619.04 | $67,923.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,502.98 / $36,619.04 / $67,923.07
| Facility | | $26,502.98 | $36,619.04 | $67,923.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $46,868.85 / $72,670.87
| Facility | | $5,419.00 | $46,868.85 | $72,670.87 |