- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,872.50 / $59,904.80 / $82,871.20
| Facility | | $17,872.50 | $59,904.80 | $82,871.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $20,136.15
| Facility | | $1,146.00 | $3,000.00 | $20,136.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,547.34 / $31,153.55 / $57,785.37
| Facility | | $22,547.34 | $31,153.55 | $57,785.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,547.34 / $32,170.50 / $57,785.37
| Facility | | $22,547.34 | $32,170.50 | $57,785.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $39,873.55 / $61,824.55
| Facility | | $5,419.00 | $39,873.55 | $61,824.55 |