- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,333.50 / $34,635.69 / $47,914.40
| Facility | | $10,333.50 | $34,635.69 | $47,914.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,792.19
| Facility | | $1,146.00 | $3,000.00 | $11,792.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,036.39 / $18,012.32 / $33,410.26
| Facility | | $13,036.39 | $18,012.32 | $33,410.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,036.39 / $18,600.30 / $33,410.26
| Facility | | $13,036.39 | $18,600.30 | $33,410.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,054.04 / $35,745.64
| Facility | | $5,419.00 | $23,054.04 | $35,745.64 |