- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,813.30 / $28,894.70 / $50,554.80
| Facility | | $21,813.30 | $28,894.70 | $50,554.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,775.00 / $13,775.00 / $13,775.00
| Facility | | $13,775.00 | $13,775.00 | $13,775.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $24,393.47 / $47,195.09
| Facility | | $5,939.30 | $24,393.47 | $47,195.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,449.77 / $27,722.06 / $45,136.58
| Facility | | $16,449.77 | $27,722.06 | $45,136.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,910.49 / $57,388.00
| Facility | | $3,496.00 | $32,910.49 | $57,388.00 |