- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,053.00 / $37,047.30 / $51,250.50
| Facility | | $11,053.00 | $37,047.30 | $51,250.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,196.35
| Facility | | $1,146.00 | $3,000.00 | $8,196.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,944.09 / $19,266.48 / $35,736.56
| Facility | | $13,944.09 | $19,266.48 | $35,736.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,913.16 / $19,266.48 / $35,736.56
| Facility | | $13,913.16 | $19,266.48 | $35,736.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $24,659.24 / $38,234.54
| Facility | | $5,419.00 | $24,659.24 | $38,234.54 |