- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,905.50 / $36,552.90 / $50,566.60
| Facility | | $10,905.50 | $36,552.90 | $50,566.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,114.51
| Facility | | $1,146.00 | $3,000.00 | $8,114.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,758.01 / $19,009.38 / $35,259.66
| Facility | | $13,758.01 | $19,009.38 | $35,259.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,758.01 / $19,009.38 / $35,259.66
| Facility | | $13,758.01 | $19,009.38 | $35,259.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $24,330.17 / $37,724.31
| Facility | | $5,419.00 | $24,330.17 | $37,724.31 |