- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,693.00 / $39,192.40 / $54,218.10
| Facility | | $11,693.00 | $39,192.40 | $54,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,711.32
| Facility | | $1,146.00 | $3,000.00 | $9,711.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,751.49 / $20,382.07 / $37,805.81
| Facility | | $14,751.49 | $20,382.07 | $37,805.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,751.49 / $20,382.07 / $37,805.81
| Facility | | $14,751.49 | $20,382.07 | $37,805.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $26,087.08 / $40,448.43
| Facility | | $5,419.00 | $26,087.08 | $40,448.43 |