- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,069.50 / $70,620.39 / $97,695.10
| Facility | | $21,069.50 | $70,620.39 | $97,695.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $30,866.96
| Facility | | $1,146.00 | $3,000.00 | $30,866.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,580.56 / $36,726.25 / $68,121.91
| Facility | | $26,580.56 | $36,726.25 | $68,121.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,580.56 / $36,726.25 / $68,121.91
| Facility | | $26,580.56 | $36,726.25 | $68,121.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $47,006.05 / $72,883.61
| Facility | | $5,419.00 | $47,006.05 | $72,883.61 |