- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,142.50 / $60,809.70 / $84,123.10
| Facility | | $18,142.50 | $60,809.70 | $84,123.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,879.11
| Facility | | $1,146.00 | $3,000.00 | $13,879.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,887.96 / $31,624.19 / $58,658.33
| Facility | | $22,887.96 | $31,624.19 | $58,658.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,887.96 / $31,624.19 / $58,658.33
| Facility | | $22,887.96 | $31,624.19 | $58,658.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $42,736.77 / $62,758.54
| Facility | | $5,419.00 | $42,736.77 | $62,758.54 |