- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,730.50 / $49,373.50 / $68,302.39
| Facility | | $14,730.50 | $49,373.50 | $68,302.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,686.14
| Facility | | $1,146.00 | $3,000.00 | $13,686.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,463.00 / $25,676.73 / $47,626.65
| Facility | | $12,463.00 | $25,676.73 | $47,626.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,463.00 / $25,676.73 / $46,118.34
| Facility | | $12,463.00 | $25,676.73 | $46,118.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $32,863.75 / $50,955.75
| Facility | | $5,419.00 | $32,863.75 | $50,955.75 |