- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,693.50 / $35,842.30 / $49,583.60
| Facility | | $10,693.50 | $35,842.30 | $49,583.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,116.98
| Facility | | $1,146.00 | $3,000.00 | $13,116.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,490.56 / $18,639.84 / $34,574.22
| Facility | | $13,490.56 | $18,639.84 | $34,574.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,490.56 / $19,248.30 / $34,574.22
| Facility | | $13,490.56 | $19,248.30 | $34,574.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,857.20 / $36,990.96
| Facility | | $5,419.00 | $23,857.20 | $36,990.96 |