- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,684.50 / $39,163.90 / $54,178.70
| Facility | | $11,684.50 | $39,163.90 | $54,178.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,080.28
| Facility | | $1,146.00 | $3,000.00 | $11,080.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,740.77 / $20,367.25 / $37,778.33
| Facility | | $14,740.77 | $20,367.25 | $37,778.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,740.77 / $20,367.25 / $37,778.33
| Facility | | $14,740.77 | $20,367.25 | $37,778.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $26,068.12 / $40,419.01
| Facility | | $5,419.00 | $26,068.12 | $40,419.01 |