- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,920.50 / $66,769.20 / $92,367.40
| Facility | | $19,920.50 | $66,769.20 | $92,367.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $23,605.52
| Facility | | $1,146.00 | $3,000.00 | $23,605.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,131.03 / $34,723.42 / $64,406.96
| Facility | | $25,131.03 | $34,723.42 | $64,406.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,131.03 / $34,723.42 / $64,406.96
| Facility | | $25,131.03 | $34,723.42 | $64,406.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $44,442.64 / $68,908.99
| Facility | | $5,419.00 | $44,442.64 | $68,908.99 |