- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,543.50 / $35,339.50 / $48,888.10
| Facility | | $10,543.50 | $35,339.50 | $48,888.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,468.24
| Facility | | $1,146.00 | $3,000.00 | $16,468.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,301.32 / $18,378.37 / $34,089.24
| Facility | | $13,301.32 | $18,378.37 | $34,089.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,301.32 / $18,978.30 / $34,089.24
| Facility | | $13,301.32 | $18,978.30 | $34,089.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,522.55 / $36,472.08
| Facility | | $5,419.00 | $23,522.55 | $36,472.08 |