- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,800.00 / $52,958.20 / $73,261.39
| Facility | | $15,800.00 | $52,958.20 | $73,261.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,297.65
| Facility | | $1,146.00 | $3,000.00 | $12,297.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,932.74 / $27,540.98 / $51,084.56
| Facility | | $19,932.74 | $27,540.98 | $51,084.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,932.74 / $27,908.20 / $51,084.56
| Facility | | $19,932.74 | $27,908.20 | $51,084.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $37,218.75 / $54,655.36
| Facility | | $5,419.00 | $37,218.75 | $54,655.36 |