- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,811.00 / $32,884.40 / $45,491.60
| Facility | | $9,811.00 | $32,884.40 | $45,491.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,429.28
| Facility | | $1,146.00 | $3,000.00 | $10,429.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,377.22 / $17,101.55 / $31,720.93
| Facility | | $12,377.22 | $17,101.55 | $31,720.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,377.22 / $17,659.80 / $31,720.93
| Facility | | $12,377.22 | $17,659.80 | $31,720.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,888.34 / $33,938.21
| Facility | | $5,419.00 | $21,888.34 | $33,938.21 |