- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,859.50 / $46,454.10 / $64,263.70
| Facility | | $13,859.50 | $46,454.10 | $64,263.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,180.47
| Facility | | $1,146.00 | $3,000.00 | $12,180.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,484.66 / $24,158.49 / $44,810.54
| Facility | | $17,484.66 | $24,158.49 | $44,810.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,484.66 / $24,158.49 / $44,810.54
| Facility | | $17,484.66 | $24,158.49 | $44,810.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $30,920.54 / $47,942.78
| Facility | | $5,419.00 | $30,920.54 | $47,942.78 |