- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,206.50 / $40,913.60 / $56,599.10
| Facility | | $12,206.50 | $40,913.60 | $56,599.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,837.09
| Facility | | $1,146.00 | $3,000.00 | $10,837.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,463.00 / $21,277.15 / $39,466.06
| Facility | | $12,463.00 | $21,277.15 | $39,466.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,463.00 / $19,553.68 / $38,216.18
| Facility | | $12,463.00 | $19,553.68 | $38,216.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $27,232.70 / $42,224.72
| Facility | | $5,419.00 | $27,232.70 | $42,224.72 |