- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,142.00 / $57,456.30 / $79,484.00
| Facility | | $17,142.00 | $57,456.30 | $79,484.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,707.28
| Facility | | $1,146.00 | $3,000.00 | $14,707.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,625.76 / $29,880.22 / $55,423.51
| Facility | | $21,625.76 | $29,880.22 | $55,423.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,625.76 / $30,704.08 / $55,423.51
| Facility | | $21,625.76 | $30,704.08 | $55,423.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $38,243.80 / $59,297.61
| Facility | | $5,419.00 | $38,243.80 | $59,297.61 |