- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,688.50 / $62,639.80 / $86,654.80
| Facility | | $18,688.50 | $62,639.80 | $86,654.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,936.03
| Facility | | $1,146.00 | $3,000.00 | $16,936.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,576.78 / $32,575.92 / $60,423.66
| Facility | | $23,576.78 | $32,575.92 | $60,423.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,576.78 / $33,639.30 / $60,423.66
| Facility | | $23,576.78 | $33,639.30 | $60,423.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $41,694.04 / $64,647.26
| Facility | | $5,419.00 | $41,694.04 | $64,647.26 |