- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,556.00 / $38,733.19 / $53,582.90
| Facility | | $11,556.00 | $38,733.19 | $53,582.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,274.33
| Facility | | $1,146.00 | $3,000.00 | $16,274.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,578.66 / $20,143.25 / $37,362.86
| Facility | | $14,578.66 | $20,143.25 | $37,362.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,578.66 / $20,143.25 / $37,362.86
| Facility | | $14,578.66 | $20,143.25 | $37,362.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $25,781.44 / $39,974.51
| Facility | | $5,419.00 | $25,781.44 | $39,974.51 |