- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,710.50 / $52,658.20 / $72,846.39
| Facility | | $15,710.50 | $52,658.20 | $72,846.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,114.83
| Facility | | $1,146.00 | $3,000.00 | $16,114.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,918.00 / $27,384.97 / $50,795.19
| Facility | | $10,918.00 | $27,384.97 | $50,795.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,918.00 / $24,789.40 / $49,186.53
| Facility | | $10,918.00 | $24,789.40 | $49,186.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $35,050.12 / $54,345.76
| Facility | | $5,419.00 | $35,050.12 | $54,345.76 |