- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,654.50 / $35,711.60 / $49,402.80
| Facility | | $10,654.50 | $35,711.60 | $49,402.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $18,115.25
| Facility | | $1,146.00 | $3,000.00 | $18,115.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,441.35 / $18,571.86 / $34,448.12
| Facility | | $13,441.35 | $18,571.86 | $34,448.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,441.35 / $18,571.86 / $33,357.17
| Facility | | $13,441.35 | $18,571.86 | $33,357.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,770.19 / $36,856.05
| Facility | | $5,419.00 | $23,770.19 | $36,856.05 |