- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,952.50 / $40,062.19 / $55,421.40
| Facility | | $11,952.50 | $40,062.19 | $55,421.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,149.71
| Facility | | $1,146.00 | $3,000.00 | $16,149.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,078.87 / $20,834.40 / $38,644.82
| Facility | | $15,078.87 | $20,834.40 | $38,644.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,078.87 / $20,834.40 / $38,644.82
| Facility | | $15,078.87 | $20,834.40 | $38,644.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $26,666.03 / $41,346.08
| Facility | | $5,419.00 | $26,666.03 | $41,346.08 |