- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,714.00 / $32,559.20 / $45,041.90
| Facility | | $9,714.00 | $32,559.20 | $45,041.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,753.85
| Facility | | $1,146.00 | $3,000.00 | $10,753.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,254.85 / $16,932.47 / $31,407.30
| Facility | | $12,254.85 | $16,932.47 | $31,407.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,254.85 / $16,932.47 / $31,407.30
| Facility | | $12,254.85 | $16,932.47 | $31,407.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,671.93 / $33,602.67
| Facility | | $5,419.00 | $21,671.93 | $33,602.67 |