- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,755.50 / $39,401.90 / $54,507.90
| Facility | | $11,755.50 | $39,401.90 | $54,507.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,713.93
| Facility | | $1,146.00 | $3,000.00 | $6,713.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,830.34 / $20,491.00 / $38,007.87
| Facility | | $14,830.34 | $20,491.00 | $38,007.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,830.34 / $20,491.00 / $38,007.87
| Facility | | $14,830.34 | $20,491.00 | $38,007.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $26,226.52 / $40,664.62
| Facility | | $5,419.00 | $26,226.52 | $40,664.62 |