- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,886.50 / $36,489.19 / $50,478.50
| Facility | | $10,886.50 | $36,489.19 | $50,478.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $17,411.72
| Facility | | $1,146.00 | $3,000.00 | $17,411.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,734.04 / $18,976.25 / $35,198.23
| Facility | | $13,734.04 | $18,976.25 | $35,198.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,734.04 / $19,595.70 / $35,198.23
| Facility | | $13,734.04 | $19,595.70 | $35,198.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $24,287.78 / $37,658.58
| Facility | | $5,419.00 | $24,287.78 | $37,658.58 |