- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,614.50 / $42,281.10 / $58,490.90
| Facility | | $12,614.50 | $42,281.10 | $58,490.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $24,077.96
| Facility | | $1,146.00 | $3,000.00 | $24,077.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,914.02 / $21,988.33 / $40,785.19
| Facility | | $15,914.02 | $21,988.33 | $40,785.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,914.02 / $21,988.33 / $40,785.19
| Facility | | $15,914.02 | $21,988.33 | $40,785.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $28,142.95 / $43,636.08
| Facility | | $5,419.00 | $28,142.95 | $43,636.08 |