- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,246.00 / $41,045.90 / $56,782.30
| Facility | | $12,246.00 | $41,045.90 | $56,782.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $2,526.30 / $3,931.37
| Facility | | $1,146.00 | $2,526.30 | $3,931.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,449.14 / $22,042.80 / $39,593.76
| Facility | | $15,449.14 | $22,042.80 | $39,593.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,462.91 / $21,346.00 / $39,593.76
| Facility | | $12,462.91 | $21,346.00 | $39,593.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.00 / $16,703.54 / $42,361.36
| Facility | | $2,024.00 | $16,703.54 | $42,361.36 |