- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,655.00 / $35,713.30 / $49,405.10
| Facility | | $10,655.00 | $35,713.30 | $49,405.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,591.96
| Facility | | $1,146.00 | $3,000.00 | $14,591.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,441.99 / $18,572.73 / $34,449.75
| Facility | | $13,441.99 | $18,572.73 | $34,449.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,441.99 / $18,720.16 / $34,449.75
| Facility | | $13,441.99 | $18,720.16 | $34,449.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,771.31 / $36,857.78
| Facility | | $5,419.00 | $23,771.31 | $36,857.78 |