- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,426.00 / $34,945.69 / $48,343.30
| Facility | | $10,426.00 | $34,945.69 | $48,343.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,709.67
| Facility | | $1,146.00 | $3,000.00 | $10,709.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,153.09 / $18,173.56 / $33,709.33
| Facility | | $13,153.09 | $18,173.56 | $33,709.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,153.09 / $18,173.56 / $33,709.33
| Facility | | $13,153.09 | $18,173.56 | $33,709.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,260.41 / $36,065.62
| Facility | | $5,419.00 | $23,260.41 | $36,065.62 |