- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,408.00 / $38,237.19 / $52,896.60
| Facility | | $11,408.00 | $38,237.19 | $52,896.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,745.09
| Facility | | $1,146.00 | $3,000.00 | $6,745.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,391.94 / $19,885.28 / $36,884.35
| Facility | | $14,391.94 | $19,885.28 | $36,884.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,391.94 / $19,885.28 / $36,884.35
| Facility | | $14,391.94 | $19,885.28 | $36,884.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $25,451.25 / $39,462.55
| Facility | | $5,419.00 | $25,451.25 | $39,462.55 |