- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $43,651.58 / $56,234.13
| Facility | | $29,512.09 | $43,651.58 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $18,620.87 / $39,810.72
| Facility | | $10,000.00 | $18,620.87 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,379.62 / $39,810.72
| Facility | | $15,488.17 | $21,379.62 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,379.62 / $39,810.72
| Facility | | $15,488.17 | $21,379.62 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $27,542.29 / $43,651.58
| Facility | | $5,370.32 | $27,542.29 | $43,651.58 |