- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,186.50 / $37,494.69 / $51,869.60
| Facility | | $11,186.50 | $37,494.69 | $51,869.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,421.77
| Facility | | $1,146.00 | $3,000.00 | $14,421.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,112.51 / $19,499.18 / $36,168.19
| Facility | | $14,112.51 | $19,499.18 | $36,168.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,112.51 / $19,499.18 / $36,168.19
| Facility | | $14,112.51 | $19,499.18 | $36,168.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $24,957.08 / $38,696.33
| Facility | | $5,419.00 | $24,957.08 | $38,696.33 |