- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,627.50 / $38,972.90 / $53,914.40
| Facility | | $11,627.50 | $38,972.90 | $53,914.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,635.64
| Facility | | $1,146.00 | $3,000.00 | $16,635.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,668.86 / $20,267.90 / $37,594.03
| Facility | | $14,668.86 | $20,267.90 | $37,594.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,668.86 / $20,267.90 / $37,594.03
| Facility | | $14,668.86 | $20,267.90 | $37,594.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $28,677.95 / $40,221.85
| Facility | | $5,419.00 | $28,677.95 | $40,221.85 |