- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,039.50 / $37,002.00 / $51,188.00
| Facility | | $11,039.50 | $37,002.00 | $51,188.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,295.57
| Facility | | $1,146.00 | $3,000.00 | $11,295.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,927.06 / $19,242.95 / $35,692.91
| Facility | | $13,927.06 | $19,242.95 | $35,692.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,927.06 / $19,242.95 / $35,692.91
| Facility | | $13,927.06 | $19,242.95 | $35,692.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $24,629.12 / $38,187.83
| Facility | | $5,419.00 | $24,629.12 | $38,187.83 |